Blue Ridge Healthcare Medical Group, Inc.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC.

Doing business as

Evans Obstetrics & Gynecology

Practice address

2209 S. Sterling Street
Suite 440
Morganton, NC 28655

Phone

(828) 580-4200

Fax

(828) 580-4209

NPI assigned

Oct 16, 2006

Last updated

Apr 23, 2010By 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

Robert Fritts

Title

SVP/Cfo

Phone

(828) 580-5545

Specialties & licenses 1

Addresses

Other names 1

• Evans Obstetrics & Gynecology Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

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.

• Kedron M Hendley, FNP

  • Nurse Practitioner
  • Marion, NC
  • NPI 1679884449
  NPD

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271980800000",
    "number": "1790865814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2209 S. STERLING STREET",
            "address_2": "SUITE 440",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "28655",
            "telephone_number": "828-580-4200",
            "fax_number": "828-580-4209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2209 S. STERLING STREET",
            "address_2": "SUITE 440",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "28655",
            "telephone_number": "828-580-4200",
            "fax_number": "828-580-4209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2010-04-23",
        "status": "A",
        "authorized_official_last_name": "FRITTS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "SVP/CFO",
        "authorized_official_telephone_number": "828-580-5545"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evans Obstetrics & Gynecology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Blue Ridge Healthcare Medical Group, Inc. (Mountain Orthopaedics)

• Obstetrics & Gynecology Physician in Morganton, NC
• Providers in Morganton, NC by specialty
• Obstetrics & Gynecology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.