Active NPI
Blue Ridge Orthopaedic Assoc, PA
- Sports Medicine (Orthopaedic Surgery) Physician
- Anderson, SC
National Provider Identifier
1376569343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- Legal business name
- BLUE RIDGE ORTHOPAEDIC ASSOC, PA
- Practice address
- 100 Healthy Way
Suite 1200
Anderson, SC 29621-7916 - Phone
- (864) 482-6000
- NPI assigned
- Jul 14, 2006
- 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
- Ms. Jo Stokes
- Title
- Administrator
- Phone
- (864) 482-6165
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | Primary |
Addresses
Primary practice location
100 Healthy Way
Suite 1200
Anderson, SC 29621-7916
Mailing address
10630 Clemson Blvd
Suite 100
Seneca, SC 29678-4545
Phone (864) 260-9910
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA4584 | Medicaid | SC |
Other names 1
- Blue Ridge Orthopaedics
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Seneca, SC
- NPI 1346200409
Sports Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1315872000000",
"number": "1376569343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10630 CLEMSON BLVD",
"address_2": "SUITE 100",
"city": "SENECA",
"state": "SC",
"postal_code": "296784545",
"telephone_number": "864-260-9910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 HEALTHY WAY",
"address_2": "SUITE 1200",
"city": "ANDERSON",
"state": "SC",
"postal_code": "296217916",
"telephone_number": "864-482-6000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLUE RIDGE ORTHOPAEDIC ASSOC, PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-14",
"last_updated": "2011-09-13",
"status": "A",
"authorized_official_last_name": "STOKES",
"authorized_official_first_name": "JO",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "864-482-6165",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "207XX0005X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PA4584",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Blue Ridge Orthopaedics",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Anderson, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.