BLUE RIDGE UROLOGICAL ASSOC., PC – NPI #1194746289
Urology

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

BLUE RIDGE UROLOGICAL ASSOC., PC is an urologist located in FISHERSVILLE, VA. NPPES has assigned the NPI number 1194746289 to BLUE RIDGE UROLOGICAL ASSOC., PC on July 22, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208800000X from the Health Care Provider Taxonomy code set, which is classified as Urology.

The NPI profile was previously updated about 18 years ago on Mar 07, 2008. 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 UROLOGICAL ASSOC., PC below.

NPI Profile for
BLUE RIDGE UROLOGICAL ASSOC., PC

NPI Number
1194746289
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 UROLOGICAL ASSOC., PC
Primary location
70 MEDICAL CENTER CIR
SUITE 208
FISHERSVILLE, VA 22939-2273
Phone: (540) 345-3556 Fax: (540) 342-2193
Mailing address
PO BOX 8310
ROANOKE, VA 24014-0310
Phone: (540) 345-3556 Fax: (540) 342-2193
Organization Subpart
No
Authorized Official
CARIE BUCKLEY
PRESIDENT
Phone: (540) 345-3556
Updated
Identifiers

Identifiers for BLUE RIDGE UROLOGICAL ASSOC., PC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
OTHERANTHEMVA011345
OTHERANTHEMVA049990
OTHERANTHEMVA011346
OTHERANTHEMVA440822
OTHERANTHEMVI279040
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
208800000X
- Urology (Primary)
VA 0101033256

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.