Blue Ridge Women's Center, PA

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

200400614 Issued in NC

Legal business name

BLUE RIDGE WOMEN'S CENTER, PA

Practice address

150 Parkwood Dr
Elkin, NC 28621-2430

Phone

(336) 835-5945

Fax

(336) 835-5974

NPI assigned

Oct 4, 2006

Last updated

Nov 11, 2009By 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. John T Venus, M.D.NPI 1245204130

Title

President

Phone

(336) 835-5945

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

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.

• John T. Venus, MD

  • Obstetrics & Gynecology Physician
  • Elkin, NC
  • NPI 1245204130
  Authorized official Same address or phone

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257897600000",
    "number": "1912092867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 PARKWOOD DR",
            "city": "ELKIN",
            "state": "NC",
            "postal_code": "286212430",
            "telephone_number": "336-835-5945",
            "fax_number": "336-835-5974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 PARKWOOD DR",
            "city": "ELKIN",
            "state": "NC",
            "postal_code": "286212430",
            "telephone_number": "336-835-5945",
            "fax_number": "336-835-5974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE RIDGE WOMEN'S CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2009-11-11",
        "status": "A",
        "authorized_official_last_name": "VENUS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-835-5945",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "200400614",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7260595",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF NC",
            "identifier": "015YW",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89015YW",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "A9945",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Wayne Beres, FNP
• Betancourt, Pinnix, Phelps, & Grimes DMD PLLC (Parkwood Dental)
• Emily Childers Billings
• Sandie Barrie Blackley, MA/CCC
• Blue Ridge Cardiology and Internal Medicine PA
• David J Bohle, MD
• Christine Marguerite Bomberger, PA-C
• Sailaja Bondalapati, MD
• Christine Booher, LPC
• Andrew Bostick

• Obstetrics & Gynecology Physician in Elkin, NC
• Providers in Elkin, 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 Nov 11, 2009; 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.