Blue Ridge Allergy and Asthma, PLLC

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

Legal business name

BLUE RIDGE ALLERGY AND ASTHMA, PLLC

Practice address

870 State Farm Rd Ste 101
Boone, NC 28607-4862

Phone

(828) 264-4545

Fax

(828) 263-5698

NPI assigned

Nov 22, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Charles Ford, MD

Title

President

Phone

(828) 263-5695

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1637539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637539200000",
    "number": "1497412738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "870 STATE FARM RD STE 101",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286074862",
            "telephone_number": "828-264-4545",
            "fax_number": "828-263-5698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 STATE FARM RD STE 101",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286074862",
            "telephone_number": "828-264-4545",
            "fax_number": "828-263-5698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE RIDGE ALLERGY AND ASTHMA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-22",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "828-263-5695",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Dawn Blevins, LCSW
• Anna Bloemsma
• Blue Haven Counseling Services, P.a.
• Blue Heron Counseling, PLLC
• Blue Ridge Addiction Recovery
• Blue Ridge Ear, Nose and Throat, Inc.
• Blue Ridge Expressive Arts, Inc.
• Blue Ridge Hearing Center, LLC
• Blue Ridge Home Care
• Blue Ridge Integrative Health, PC

• Allergy & Immunology Physician in Boone, NC
• Providers in Boone, NC by specialty
• Allergy & Immunology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2021; 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.