BLUE RIDGE MEDICAL MANAGEMENT CORPORATION


Address: 2205 Pavilion Dr, Suite 102, Kingsport, TN 37660-4641
Phone: 4239297393

BLUE RIDGE MEDICAL MANAGEMENT CORPORATION (NPI# 1144458332) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144458332
Entity Type Organization
Organization Name BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Other Organization Name MSMG CVT KPT
Practice Address 2205 Pavilion Dr
Suite 102
Kingsport
TN 37660-4641
Practice Telephone 4239297393
Practice Fax Number 4239291427
Mailing Telephone 4239297393
Mailing Fax Number 4239291427
Enumeration Date 2009-06-25
Last Update Date 2010-10-27
Authorized Official Name CARL STEVEN KILGORE (PRESIDENT)
Authorized Official Telephone 4239155100
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers
N 363AS0400X Physician Assistant
Specialization: Surgical Technologist
Physician Assistants & Advanced Practice Nursing Providers
Y 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TN 1515098 05

Other Provider/Organization Names

Other Name Type Code
MSMG CVT KPT Doing Business As Name - Organization

Other Provider IDs and Locations

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

Other Data Sources

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

Office Location

Street Address 2205 PAVILION DR
SUITE 102
City KINGSPORT
State TN
Zip Code 37660-4641

Providers in the same location

NPI Name Taxonomy Address Enumeration
1861470080 Adil Kabir Warsy Emergency Medicine 2205 Pavilion Dr, Suite 201b, Kingsport, TN 37660-4641 2006-01-06
1982080719 Logan Cook Nurse Practitioner 2205 Pavilion Dr, Suite 201b, Kingsport, TN 37660-4641 2015-08-04
1164794525 Blue Ridge Medical Management Corporation Internal Medicine 2205 Pavilion Dr, Suite 201b, Kingsport, TN 37660-4641 2012-02-01
1093087611 Richard A Mcneilly Internal Medicine 2205 Pavilion Dr, Suite 201b, Kingsport, TN 37660 2012-01-27
1598995789 Blue Ridge Medical Management Corporation Internal Medicine 2205 Pavilion Dr, Suite 101, Kingsport, TN 37660-4641 2009-07-22
1598885550 Teresa June Burnette Lord Internal Medicine 2205 Pavilion Dr, Suite 101, Kingsport, TN 37660-4641 2007-03-30
1821115676 Kelly M Hare Nurse Practitioner 2205 Pavilion Dr, Suite 201b, Kingsport, TN 37660-4641 2007-03-26
1780780882 Robert Hughes Mcqueen Internal Medicine 2205 Pavilion Dr, Suite 201, Kingsport, TN 37660-4641 2006-09-15
1912910597 Blue Ridge Medical Management Corporation Internal Medicine 2205 Pavilion Dr, Kingsport, TN 37660-4641 2006-08-14
1447279856 Paul Andrew Lee Physician Assistant 2205 Pavilion Dr, Suite 201, Kingsport, TN 37660-4641 2006-07-18
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1750909891 Nancy Gober Pharmacist Holston Valley Medical Center Inpatient Pharmacy, 130 W Ravine, Kingsport, TN 37660 2020-07-06
1700437621 Tammy Denise Leblanc Technician 125 Lancer Rd, Kingsport, TN 37660 2019-09-23
1831743392 Independent Physical Therapy Occupational Therapist 1704 E. Stone Dr. Ste 120, Kingsport, TN 37660 2019-08-01
1871095315 Macie Anderson Nurse Practitioner 411 Clay St, Kingsport, TN 37660 2018-03-01
1053813527 Pulitzer Orthodontics, LLC Dentist 1200 Pulitzer Place, Kingsport, TN 37660 2018-03-01
1174038749 Sbh-kingsport Psychiatric Hospital 1025 Executive Park Blvd, Kingsport, TN 37660 2017-12-05
1548771447 Sara B Ball Registered Nurse 111 W Stone Dr Ste 240, Kingsport, TN 37660 2017-10-18
1821525361 Ashley Brook Weems Nurse Practitioner Six Sheridan Square Suite 100, Kingsport, TN 37660 2017-05-15
1639625643 Stephanie H Garris Nurse Practitioner 117 W Sevier Ave Ste 120, Kingsport, TN 37660 2016-08-30
1073965679 Teresa Anne Starke Physician Assistant 8 Sheridan Square, Suite 110, Kingsport, TN 37660 2016-07-07
Find all providers in zip 37660

Taxonomy Information

Taxonomy Code 208G00000X
Grouping Allopathic & Osteopathic Physicians
Classification Thoracic Surgery (Cardiothoracic Vascular Surgery)

Taxonomy Definition

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023358793 David H Sewell Thoracic Surgery (Cardiothoracic Vascular Surgery) 1723 Orchard Pl, Kingsport, TN 37660-4523 2013-02-18
1508168303 Richard Neal Carter Thoracic Surgery (Cardiothoracic Vascular Surgery) 2050 Meadowview Pkwy, Kingsport, TN 37660-7475 2010-11-30
1982633467 Stanley A Gall Jr. Thoracic Surgery (Cardiothoracic Vascular Surgery) 2050 Meadowview Pkwy, Kingsport, TN 37660-7475 2006-06-30
1710942545 D Tyler Greenfield Thoracic Surgery (Cardiothoracic Vascular Surgery) 2050 Meadowview Parkway, Kingsport, TN 37660-7332 2006-04-17

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1073855888 Walter Howard Brott Thoracic Surgery (Cardiothoracic Vascular Surgery) 3701 Maloney Rd, Knoxville, TN 37920-2821 2013-03-19
1962769216 Robert Edwin Ware Thoracic Surgery (Cardiothoracic Vascular Surgery) 3548 Captains Way, Knoxville, TN 37922-9420 2012-04-11
1720359862 Hiroshi Toyohara Thoracic Surgery (Cardiothoracic Vascular Surgery) 210 Crestridge Rd, Knoxville, TN 37919-5920 2012-01-20
1164793774 Richard A Feit Thoracic Surgery (Cardiothoracic Vascular Surgery) East Tennessee State University Quillen College, Of Medicine Department of Academic Affairs, Johnson City, TN 37614-1708 2012-01-13
1376833210 David Alan Baker Thoracic Surgery (Cardiothoracic Vascular Surgery) 912 Millercrest Dr, Johnson City, TN 37604-4315 2011-04-12
1811146988 Denis Michael Gilmore Thoracic Surgery (Cardiothoracic Vascular Surgery) 2400 Patterson St Ste 215, Nashville, TN 37203 2008-09-15
1811145584 Joel Eugene Avery Thoracic Surgery (Cardiothoracic Vascular Surgery) 15 Hidden Brook Lane, Signal Mtn, TN 37377 2008-09-05
1053578518 Jeffrey Aaron Poynter Thoracic Surgery (Cardiothoracic Vascular Surgery) 979 E 3rd St Ste C-520, Chattanooga, TN 37403 2008-05-21
1063698637 Davis C. Drinkwater, Md, Plc Thoracic Surgery (Cardiothoracic Vascular Surgery) 4390 Chickering Ln, Nashville, TN 37215-4920 2008-01-14
1629257043 Fontaine S Hill Jr. Thoracic Surgery (Cardiothoracic Vascular Surgery) 16 Colonel Winstead Dr, Brentwood, TN 37027-8936 2007-11-01
Find all providers with the same taxonomy

Competitor

Search similar providers

City KINGSPORT
Zip Code 37660

Improve Information

Please comment or provide details below to improve the information on BLUE RIDGE MEDICAL MANAGEMENT CORPORATION.

Dataset Information

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.

Trending Searches