Organization Active NPI

Blue Ridge ENT & Facial Surgery Center, Inc.

Doing business as Blue Ridge ENT

  • Otolaryngology Physician
  • Bluefield, WV
National Provider Identifier
1316054802
Registry record updated Sep 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
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, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2007

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.