Blue Ridge Plastic Surgery

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

0101240846 Issued in VA

Legal business name

BLUE RIDGE PLASTIC SURGERY

Practice address

319 Hospital Dr
Suite 101
Martinsville, VA 24112-1929

Phone

(276) 632-3900

Fax

(273) 632-3989

NPI assigned

Nov 1, 2006

Last updated

Aug 12, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Guido P Gutter, M.D.NPI 1982703740

Title

Physician

Phone

(276) 632-3900

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Guido Peter Gutter, M.D.

  • Plastic Surgery Physician
  • Evansville, IN
  • NPI 1982703740
  NPD (past) Authorized official

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218499200000",
    "number": "1487732459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 HOSPITAL DR",
            "address_2": "SUITE 101",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241121929",
            "telephone_number": "276-632-3900",
            "fax_number": "273-632-3989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 HOSPITAL DR",
            "address_2": "SUITE 101",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241121929",
            "telephone_number": "276-632-3900",
            "fax_number": "273-632-3989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE RIDGE PLASTIC SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2008-08-12",
        "status": "A",
        "authorized_official_last_name": "GUTTER",
        "authorized_official_first_name": "GUIDO",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "276-632-3900",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "VA",
            "license": "0101240846",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "248470",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sukhdeep Singh Bhogal, M.D.
• Anne Marie Biggs, RPH
• Valerie Gail Blanton, COTA
• Linda D Bledsoe, MSN, RN, FNP
• Blue Ridge Nursing Center of Martinsville and Henry County Inc. (Blue Ridge Rehab)
• Blue Ridge Recovery Center, LLC
• Blue Ridge Wellness Center LTD
• Blue River LLC
• Katherine Hooker Boaz, NP
• Brittany Alyssa Shannelle Boland, PHARMD

• Plastic Surgery Physician in Martinsville, VA
• Providers in Martinsville, VA by specialty
• Plastic Surgery Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2008; 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.