Active NPI
Fred Z Ferris, MD
- Nephrology Physician
- Christiansburg, VA
National Provider Identifier
1861496614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 0101246737
- Practice address
- 2900 Lamb Circle
Suite 190, Blue Ridge Nephrology Associates PC
Christiansburg, VA 24073-6344 - Phone
- (540) 633-5650
- Fax
- (540) 633-5659
- NPI assigned
- Jun 9, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 16546 | ||
| Nephrology Physician | 207RN0300X | 0101246737 | VA | Primary |
Addresses
Primary practice location
2900 Lamb Circle
Suite 190, Blue Ridge Nephrology Associates PC
Christiansburg, VA 24073-6344
Mailing address
PO Box 4127
Roanoke, VA 24015
Phone (540) 981-9394
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 81031 | Other | FL | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101246737 | VA | MD | Nephrology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302566400000",
"number": "1861496614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4127",
"city": "ROANOKE",
"state": "VA",
"postal_code": "24015",
"telephone_number": "540-981-9394",
"fax_number": "540-344-7154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 LAMB CIRCLE",
"address_2": "SUITE 190, BLUE RIDGE NEPHROLOGY ASSOCIATES PC",
"city": "CHRISTIANSBURG",
"state": "VA",
"postal_code": "240736344",
"telephone_number": "540-633-5650",
"fax_number": "540-633-5659"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERRIS",
"first_name": "FRED",
"middle_name": "Z",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-09",
"last_updated": "2011-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": "16546",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "VA",
"license": "0101246737",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "81031",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Christiansburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.