NPIMap

Organization Active NPI

Blue Ridge Orthopaedic Associates, PC

  • Medical Physician Assistant
  • Warrenton, VA
National Provider Identifier
1497031975
Registry record updated Oct 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
0110003697 Issued in VA
Legal business name
BLUE RIDGE ORTHOPAEDIC ASSOCIATES, PC
Practice address
52 W. Shirley Ave.
Warrenton, VA 20186
Phone
(540) 347-9220
Fax
(540) 347-0492
NPI assigned
Oct 27, 2011
Last updated
Oct 27, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2011

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

Authorized official

Name
Jeffry Hollis
Title
Ceo
Phone
(540) 347-9220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AM0700X 0110003697 VA Primary

Addresses

Primary practice location

52 W. Shirley Ave.
Warrenton, VA 20186

Mailing address

52 W Shirley Ave
Warrenton, VA 20186-3008
Phone (540) 347-9220

National Provider Directory

National Provider Directory
Tax ID family
Blue Ridge Orthopaedic Associates6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

52 W Shirley Ave
Warrenton, VA 20186
Phone (540) 347-9220

NPI Registry JSON

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

{
    "created_epoch": "1319673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319673600000",
    "number": "1497031975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 W SHIRLEY AVE",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201863008",
            "telephone_number": "540-347-9220",
            "fax_number": "540-347-0492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 W. SHIRLEY AVE.",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "20186",
            "telephone_number": "540-347-9220",
            "fax_number": "540-347-0492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE RIDGE ORTHOPAEDIC ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-27",
        "last_updated": "2011-10-27",
        "status": "A",
        "authorized_official_last_name": "HOLLIS",
        "authorized_official_first_name": "JEFFRY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "540-347-9220"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "VA",
            "license": "0110003697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrenton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.

Verify at the official NPI Registry.