Blue Ridge Surgical Assoc., PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

BLUE RIDGE SURGICAL ASSOC., PC

Practice address

225 Hospital Dr
Galax, VA 24333-2228

Phone

(276) 236-6906

Fax

(276) 236-7179

NPI assigned

Jan 24, 2007

Organization subpart

No

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

Authorized official

Name

Shelia Swiger

Title

Office Manager

Phone

(276) 236-6906

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295880557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 HOSPITAL DR",
            "city": "GALAX",
            "state": "VA",
            "postal_code": "243332228",
            "telephone_number": "276-236-6906",
            "fax_number": "276-236-7179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 HOSPITAL DR",
            "city": "GALAX",
            "state": "VA",
            "postal_code": "243332228",
            "telephone_number": "276-236-6906",
            "fax_number": "276-236-7179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE RIDGE SURGICAL ASSOC., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SWIGER",
        "authorized_official_first_name": "SHELIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "276-236-6906"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7374755",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7335288",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carlos Jesus Blattner, MD
• Blue Ridge Eye Care Associates PLLC
• Blue Ridge Home Health Care
• Blue Ridge Physicians for Women, Inc
• Blue Ridge Support Services, LLC
• Blue Ridge Surgical Associates PC
• Body and Mindfully Healthy, LLC
• John William Bolen Jr., MD
• Osei A Bonsu, D.O.
• Earle Eugene Bowers

• All providers in Galax, VA
• Surgery Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.