BLUE RIDGE GASTROENTEROLOGY, PC – NPI #1891801296
Internal Medicine

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

BLUE RIDGE GASTROENTEROLOGY, PC is a provider located in CLEVELAND, TN. NPPES has assigned the NPI number 1891801296 to BLUE RIDGE GASTROENTEROLOGY, PC on August 21, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RG0100X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Gastroenterology

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BLUE RIDGE GASTROENTEROLOGY, PC below.

NPI Profile for
BLUE RIDGE GASTROENTEROLOGY, PC

NPI Number
1891801296
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BLUE RIDGE GASTROENTEROLOGY, PC
Primary location
110 DUNHILL PL NW
CLEVELAND, TN 37311-3883
Phone: (423) 614-4000 Fax: (423) 614-4107
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MARC CLARK
PRESIDENT
Phone: (423) 614-4000
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RG0100X
- Internal Medicine / Gastroenterology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.