Blue Ridge Pediatrics Associates LTD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

0101029741 Issued in VA

Legal business name

BLUE RIDGE PEDIATRICS ASSOCIATES LTD

Practice address

337 Westside Station Drive
Winchester, VA 22601

Phone

(540) 667-5400

Fax

(540) 722-9516

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Daniel C Schiavone Jr., MD

Title

President Blue Ridge Pediatric Asso

Phone

(540) 667-5400

Specialties & licenses 1

Addresses

Other identifiers 5

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236816000000",
    "number": "1265543631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "337 WESTSIDE STATION DRIVE",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "22601",
            "telephone_number": "540-667-5400",
            "fax_number": "540-722-9516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "337 WESTSIDE STATION DRIVE",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "22601",
            "telephone_number": "540-667-5400",
            "fax_number": "540-722-9516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE RIDGE PEDIATRICS ASSOCIATES LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2009-03-12",
        "status": "A",
        "authorized_official_last_name": "SCHIAVONE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT BLUE RIDGE PEDIATRIC ASSO",
        "authorized_official_telephone_number": "540-667-5400",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101029741",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY HEALTH",
            "identifier": "42687",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0112931000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "10711397",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006779352",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "010776",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Blue Ridge Eye Specialists PC
• Blue Ridge Gynecology PC
• Blue Ridge Hospice Inc.
• Blue Ridge Independence at Home
• Blue Ridge Palliative Care Services
• Blue Ridge Radiation Oncology
• Blue Ridge Womens Care PC
• Richard Blum
• Catherine L Boatright, OTR/L
• Ramona Jeanne Bock, MSN, FNP-C

• Pediatrics Physician in Winchester, VA
• Providers in Winchester, VA by specialty
• Pediatrics Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.