Blue Ridge Medical Associates, PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

12702 Issued in SC

Legal business name

BLUE RIDGE MEDICAL ASSOCIATES, PA

Practice address

1504 E Rutherford St
Landrum, SC 29356-1416

Phone

(864) 457-4500

Fax

(864) 457-2195

NPI assigned

Jun 17, 2006

Last updated

Nov 20, 2007By 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

Dr. Thomas Irwin Dashiell Jr., MD

Title

President

Phone

(864) 457-4500

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195516800000",
    "number": "1588609366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1504 E RUTHERFORD ST",
            "city": "LANDRUM",
            "state": "SC",
            "postal_code": "293561416",
            "telephone_number": "864-457-4500",
            "fax_number": "864-457-2195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1504 E RUTHERFORD ST",
            "city": "LANDRUM",
            "state": "SC",
            "postal_code": "293561416",
            "telephone_number": "864-457-4500",
            "fax_number": "864-457-2195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE RIDGE MEDICAL ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2007-11-20",
        "status": "A",
        "authorized_official_last_name": "DASHIELL",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "IRWIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "864-457-4500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "12702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holly Ackerman, PHARMD
• Joseph Samuel Aughtry
• Jessica J Blass, BCBA
• Ellen Parris Boatwright
• Hailey Mullinax Branyon, PHARMD, RPH
• Kimberly Lynn Bridges, MD
• Jordan Clifford Burnett, PT, DPT
• Joanne Louise Cahill, FNP

• Family Medicine Physician in Landrum, SC
• Providers in Landrum, SC by specialty
• Family Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.