Blue Ridge Osteopathic Manipulative Medicine, PLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

0102201803 Issued in VA

Legal business name

BLUE RIDGE OSTEOPATHIC MANIPULATIVE MEDICINE, PLC

Practice address

103 E Main St
Salem, VA 24153-3816

Phone

(540) 387-9090

NPI assigned

Nov 11, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Sarah Steele-Killeen

Title

Physician/Owner

Phone

(540) 387-9090

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1257897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257897600000",
    "number": "1174850184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 E MAIN ST",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241533816",
            "telephone_number": "540-387-9090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 E MAIN ST",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241533816",
            "telephone_number": "540-387-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE RIDGE OSTEOPATHIC MANIPULATIVE MEDICINE, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-11",
        "last_updated": "2009-11-11",
        "status": "A",
        "authorized_official_last_name": "STEELE-KILLEEN",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "540-387-9090",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "VA",
            "license": "0102201803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Savannah Snow Blevins, BS, RBT
• Dana Michele Bloodworth, LCSW
• Blue Mountain Pathology, Professioanl Corporation
• Blue Ridge Anesthesia Associates Inc
• Blue Ridge Medical Transportation, Inc
• Blue Ridge Pain Management Associates, PC
• Blue Ridge Wound Surgery, PLLC
• Mary-Elizabeth Faye Blue, MD
• Ebenezer Boakye, PHARM.D.
• John Charles Boatwright, MD

• Medical Specialty Clinic/Center in Salem, VA
• Providers in Salem, VA by specialty
• Medical Specialty Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.