BLUE RIDGE MEDICAL MANAGEMENT CORPORATION (NPI# 1073950499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073950499 |
| Entity Type | Organization |
| Organization Name | BLUE RIDGE MEDICAL MANAGEMENT CORPORATION |
| Other Organization Name | MSMG HOSP ORTHO JMH |
| Practice Address |
16000 Johnston Memorial Dr Suite 100 A Abingdon VA 24211-7659 |
| Practice Telephone | 2762581790 |
| Practice Fax Number | 2762581765 |
| Mailing Telephone | 2762581790 |
| Mailing Fax Number | 2762581765 |
| Enumeration Date | 2013-05-24 |
| Last Update Date | 2014-04-09 |
| Authorized Official Name | MR. CARL STEPHEN KILGORE (PRESIDENT) |
| Authorized Official Telephone | 4239155116 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0801X |
Orthopaedic Surgery Specialization: Orthopaedic Trauma |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1073950499 | 05 | |
| TN | Q003480 | 05 |
| Other Name | Type Code |
|---|---|
| MSMG HOSP ORTHO JMH | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588128755 | Blue Ridge Medical Management Corporation | Family Medicine | 2030 Temple Hill Rd Ste B, Erwin, TN 37650-8721 | 2019-01-22 |
| 1558831115 | Blue Ridge Medical Management Corporation | Internal Medicine | 404 Bemberg Rd, Elizabethton, TN 37643 | 2018-11-27 |
| 1457821019 | Blue Ridge Medical Management Corporation | Internal Medicine | 71 S Flannagan Ave Suite 81, Lebanon, VA 24266 | 2018-11-27 |
| 1255816252 | Blue Ridge Medical Management Corporation | Clinic/Center | 1901 S Shady St Ste A, Mountain City, TN 37683-2021 | 2018-09-26 |
| 1184105272 | Blue Ridge Medical Management Corporation | Ophthalmology | 410 N State of Franklin Rd Ste 130b, Johnson City, TN 37604-6972 | 2018-08-27 |
| 1841770864 | Blue Ridge Medical Management Corporation | Pediatrics | 408 N State of Franklin Rd Ste 31g, Johnson City, TN 37604-6088 | 2018-08-20 |
| 1568958775 | Blue Ridge Medical Management Corporation | Urology | 408 N State of Franklin Rd Ste 31f, Johnson City, TN 37604-6088 | 2018-07-11 |
| 1477055317 | Blue Ridge Medical Management Corporation | Urology | 16000 Johnston Memorial Dr Ste 309, Abingdon, VA 24211-7664 | 2018-03-07 |
| 1669903803 | Blue Ridge Medical Management Corporation | Internal Medicine | 1497 W Elk Ave Ste 22b, Elizabethton, TN 37643-2896 | 2017-03-21 |
| 1245771757 | Blue Ridge Medical Management Corporation | Internal Medicine | 1410 Park Ave Nw, Norton, VA 24273 | 2017-03-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | BLUE RIDGE MEDICAL MANAGEMENT CORPORATION | 303 Med Tech Parkway, Johnson City, Tennessee 37604 |
| North Carolina Corporations | Blue Ridge Medical Management Corporation | 160 Mine Lake Ct Ste 200, Raleigh, NC 27615 |
| Street Address |
16000 JOHNSTON MEMORIAL DR SUITE 100 A |
| City | ABINGDON |
| State | VA |
| Zip Code | 24211-7659 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629075403 | Steven Douglas Sikora | Emergency Medicine | 16000 Johnston Memorial Dr, Abingdon, VA 24211-7659 | 2005-07-07 |
| 1306461678 | Erik Richardson | Family Medicine | 16000 Johnston Memorial Dr, Abingdon, VA 24211-7664 | 2020-06-12 |
| 1528682523 | Trevor Chase Elswick | Student in an Organized Health Care Education/Training Program | 16000 Johnston Memorial Dr, Abingdon, VA 24211-7664 | 2020-06-04 |
| 1477176543 | Martin Earl Cook | Student in an Organized Health Care Education/Training Program | 16000 Johnston Memorial Dr, Abingdon, VA 24211-7664 | 2020-05-24 |
| 1689295230 | Steven T Cook | Student in an Organized Health Care Education/Training Program | 16000 Johnston Memorial Dr, Abingdon, VA 24211-7664 | 2020-05-05 |
| 1073134862 | Kaleigh Erin Hale Almeida | Student in an Organized Health Care Education/Training Program | 16000 Johnston Memorial Dr, Abingdon, VA 24211-7664 | 2020-05-03 |
| 1174154413 | Eric Anderson | Nurse Anesthetist, Certified Registered | 16000 Johnston Memorial Dr, Abingdon, VA 24211-7664 | 2020-01-27 |
| 1154972701 | Samantha Palmer | Nurse Practitioner | 16000 Johnston Memorial Dr, Abingdon, VA 24211-7664 | 2019-09-25 |
| 1700445608 | Ashwin Chandra | Family Medicine | 16000 Johnston Memorial Dr, Abingdon, VA 24211-7664 | 2019-06-13 |
| 1679133540 | Jerod William Bachman | Student in an Organized Health Care Education/Training Program | 16000 Johnston Memorial Dr, Abingdon, VA 24211-7664 | 2019-06-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386087245 | Abingdon Apothecary, Inc. | Pharmacy | 26100 Lee Highway, Abingdon, VA 24211 | 2013-04-10 |
| 1255671152 | Mac's Medical Equipment and Supplies, Inc. | Durable Medical Equipment & Medical Supplies | 26102 Lee Highway, Abingdon, VA 24211 | 2013-03-01 |
| 1316290737 | Falcon Pharmacy | Pharmacy | 795 Cummings Street, Abingdon, VA 24211 | 2012-10-23 |
| 1407027402 | Carla M. Keene, D.d.s. | Dentist | 15189 Porterfield Highway, Abingdon, VA 24211 | 2008-03-18 |
| 1215001045 | Bernard A Tisdale Md PC | Radiology | 26079 Lee Highway, Abingdon, VA 24211 | 2006-11-20 |
| 1982670048 | Jeffrey Allen Mccraw | Anesthesiology | 351 North Court St, Abingdon, VA 24211 | 2006-02-27 |
| 1356320881 | Joseph A Brown | Internal Medicine | 16000 Johnston Memorial Drive, Suite 304, Abingdon, VA 24211 | 2006-01-12 |
| 1922667435 | Saman Saeed | Student in an Organized Health Care Education/Training Program | 16000 Johnston Memorial Drive, Abingdon, VA 24211 | 2019-06-08 |
| 1558891101 | Katie Danielle Buckner | Family Medicine | 16000 Johnston Memorial Drive, Abingdon, VA 24211 | 2017-06-15 |
| 1316359003 | Beth Morley | Nurse Practitioner | 15051 Harmony Hills Ln, Abingdon, VA 24211 | 2014-05-29 |
| Find all providers in zip 24211 | ||||
| Taxonomy Code | 207XX0801X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Trauma |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic trauma surgeons deal with the evaluation and management of acute orthopaedic injuries, evaluation and treatment of post-traumatic deformities and nonunions, acute and delayed reconstruction of pelvic and acetabular fractures, as well as osteotomy in the adult hip for treatment of hip arthritis. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568692879 | Sentara Medical Group | Orthopaedic Surgery | 1080 First Colonial Rd Ste 305, Virginia Beach, VA 23454-2406 | 2009-07-21 |
| 1952816217 | Dianna Lynn Oliver | Orthopaedic Surgery | 600 Gresham Dr Ste 204, Norfolk, VA 23507-1904 | 2017-12-08 |
| 1538503545 | Ahmad H Fashandi | Orthopaedic Surgery | 545 Ray C Hunt Dr, Charlottesville, VA 22903 | 2013-04-21 |
| 1578854956 | Suneel Bhat | Orthopaedic Surgery | 600 Gresham Dr Ste 204, Norfolk, VA 23507-1904 | 2011-04-20 |
| 1942468772 | Ryan B Graves | Orthopaedic Surgery | 1250 E Marshall St, Orthopaedic Surgery, Richmond, VA 23298-5051 | 2008-05-29 |
| 1285835736 | Seth R. Yarboro | Orthopaedic Surgery | 545 Ray C. Hunt Drive, Suite 310, Charlottesville, VA 22903-0001 | 2007-05-31 |
| 1255465480 | H. George White Jr. | Orthopaedic Surgery | 545 Ray C Hunt Dr, Charlottesville, VA 22908-0001 | 2007-03-16 |
| 1407884943 | Cary C Schwartzbach | Orthopaedic Surgery | 8503 Arlington Blvd, Suite 200, Fairfax, VA 22031-4628 | 2006-06-30 |
| 1932135662 | Alireza Malekzadeh | Orthopaedic Surgery | 8503 Arlington Blvd, Suite 200, Fairfax, VA 22031-4628 | 2006-06-24 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.