NPIMap

Organization Active NPI

Blue Ridge Healthcare Medical Group, Inc

Doing business as McDowell Medical Associates, PA

  • Family Medicine Physician
  • Marion, NC
National Provider Identifier
1194780411
Registry record updated Sep 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
40576 Issued in NC
Legal business name
BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC
Doing business as
McDowell Medical Associates, PA
Practice address
1860 Sugar Hill Rd
Marion, NC 28752-5565
Phone
(828) 652-8727
Fax
(828) 652-8793
NPI assigned
Apr 19, 2006
Last updated
Sep 27, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
BLUE RIDGE HEALTHCARE MEDICAL GROUP, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 27, 2011

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

Authorized official

Name
Mr. Robert Fritts
Title
Chief Financial Officer
Phone
(828) 580-5000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 40576 NC Primary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X 40576 NC

Addresses

Primary practice location

1860 Sugar Hill Rd
Marion, NC 28752-5565

Mailing address

1860 Sugar Hill Rd
Marion, NC 28752-5565
Phone (828) 652-8727

Other identifiers 5

IdentifierTypeStateIssuer
690168LMedicaidNC
023T1OtherNCBCBSNC
34D0699936OtherNCCLIA #
5915267MedicaidNC
34D0947561OtherNCCLIA

Other names 1

  • McDowell Medical Associates, PA Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Blue Ridge Healthcare Med36 organizations share this tax ID, including this one
Part of
Blue Ridge Healthcare Med

Other organizations with this tax ID 35

Organizations that report the same tax identification number in the National Provider Directory.

View all 35

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317081600000",
    "number": "1194780411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 SUGAR HILL RD",
            "city": "MARION",
            "state": "NC",
            "postal_code": "287525565",
            "telephone_number": "828-652-8727",
            "fax_number": "828-652-8793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 SUGAR HILL RD",
            "city": "MARION",
            "state": "NC",
            "postal_code": "287525565",
            "telephone_number": "828-652-8727",
            "fax_number": "828-652-8793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC",
        "enumeration_date": "2006-04-19",
        "last_updated": "2011-09-27",
        "status": "A",
        "authorized_official_last_name": "FRITTS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "828-580-5000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "40576",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "40576",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "690168L",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC",
            "identifier": "023T1",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA #",
            "identifier": "34D0699936",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5915267",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "34D0947561",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McDowell Medical Associates, PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marion, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2011; 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.