Active NPI
Blue Ridge ENT & Facial Surgery Center, Inc.
Doing business as Blue Ridge ENT
- Otolaryngology Physician
- Bluefield, WV
National Provider Identifier
1316054802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- Legal business name
- BLUE RIDGE ENT & FACIAL SURGERY CENTER, INC.
- Doing business as
- Blue Ridge ENT
- Practice address
- 510 Cherry St
Suite 205
Bluefield, WV 24701-3338 - Phone
- (304) 324-2954
- Fax
- (304) 324-2955
- NPI assigned
- Aug 23, 2006
- Last updated
- Sep 12, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert March Jones Jr., MD
- Title
- President
- Phone
- (304) 324-2954
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | NU | Primary |
Addresses
Primary practice location
510 Cherry St
Suite 205
Bluefield, WV 24701-3338
Mailing address
510 Cherry St
Suite 205
Bluefield, WV 24701-3338
Phone (304) 324-2954
Other names 1
- Blue Ridge ENT
National Provider Directory
National Provider DirectoryLocations
510 Cherry St
Ste 20
Bluefield, WV 24701
Phone (304) 324-2954
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1189555200000",
"number": "1316054802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "510 CHERRY ST",
"address_2": "SUITE 205",
"city": "BLUEFIELD",
"state": "WV",
"postal_code": "247013338",
"telephone_number": "304-324-2954",
"fax_number": "304-324-2955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 CHERRY ST",
"address_2": "SUITE 205",
"city": "BLUEFIELD",
"state": "WV",
"postal_code": "247013338",
"telephone_number": "304-324-2954",
"fax_number": "304-324-2955"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLUE RIDGE ENT & FACIAL SURGERY CENTER, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-23",
"last_updated": "2007-09-12",
"status": "A",
"authorized_official_last_name": "JONES",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "MARCH",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "304-324-2954",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Blue Ridge ENT",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bluefield, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.