Blue Ridge Academic Medical Group, Plc in Blacksburg - Neuromusculoskeletal Medicine, Sports Medicine
Blue Ridge Academic Medical Group, Plc - NPI 1861453078
Blue Ridge Academic Medical Group, Plc is a Neuromusculoskeletal Medicine, Sports Medicine in Blacksburg, Virginia. Blue Ridge Academic Medical Group, Plc practices all healthcare services and medical treatments related to Neuromusculoskeletal Medicine, Sports Medicine. The NPI Number for Blue Ridge Academic Medical Group, Plc is 1861453078. The last update date is 2020-08-22.
Blue Ridge Academic Medical Group, Plc's current location address is 3700 S Main St, Blacksburg, Virginia. You can contact this provider via phone number 5409511111. The mailing address for Blue Ridge Academic Medical Group, Plc is 3700 S Main St, Blacksburg, Virginia. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Blue Ridge Academic Medical Group, Plc |
---|---|
Address | 3700 S Main St, Blacksburg, Virginia |
Phone Number | 5409511111 |
Fax Number | |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PHYSICIAN |
---|---|
Authorized Official Name | Kirstein J Isaac |
Credentials | D.O. |
Telephone Number | 5408185890 |
NPI Number Detail
NPI Number | 1861453078 |
---|---|
Provider Enumeration Date | 2006-03-29 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 3700 S Main St |
---|---|
City | Blacksburg |
State | Virginia (VA) |
Post Code | 240607017 |
Phone Number | 5409511111 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Neuromusculoskeletal Medicine, Sports Medicine |
---|---|
Taxonomy | 204C00000X |
Licence No | 102201473 |
Definition: A Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician trained to be responsible for the continuous care in the field of sports medicine encompasses increased knowledge and understanding of osteopathic principles and practice |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
279560 | VA | ANTHEM | |
DA5070 | VA | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Blue Ridge Academic Medical Group, Plc by the Centers for Medicare & Medicaid Services?
The Blue Ridge Academic Medical Group, Plc has been issued the NPI (National Provider Identifier) 1861453078, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Blue Ridge Academic Medical Group, Plc?
The Blue Ridge Academic Medical Group, Plc is situated at 3700 S Main St, in the city of Blacksburg, state of VA, with the zip code 240607017.
What is the Blue Ridge Academic Medical Group, Plc's specialty and taxonomy code?
The Blue Ridge Academic Medical Group, Plc's specialty is Neuromusculoskeletal Medicine, Sports Medicine, and the corresponding taxonomy code is 204C00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1861453078 to Blue Ridge Academic Medical Group, Plc?
The Centers for Medicare & Medicaid Services originally issued the 1861453078 to Blue Ridge Academic Medical Group, Plc on 2006-03-29.
As of what date was the information pertaining to Blue Ridge Academic Medical Group, Plc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Blue Ridge Academic Medical Group, Plc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.