BLUE RIDGE MEDICAL MANAGEMENT CORPORATION


Address: 310 N State of Franklin Rd, Suite 101, Johnson City, TN 37604-6008
Phone: 4239297393

BLUE RIDGE MEDICAL MANAGEMENT CORPORATION (NPI# 1215082730) 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) 1215082730
Entity Type Organization
Organization Name BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Other Organization Name BALLAD HEALTH MEDICAL ASSOCIATES
Practice Address 310 N State of Franklin Rd
Suite 101
Johnson City
TN 37604-6008
Practice Telephone 4239297393
Practice Fax Number 4239290872
Mailing Telephone 4239297393
Mailing Fax Number 4239290872
Enumeration Date 2007-01-24
Last Update Date 2019-03-29
Authorized Official Name C STEVEN KILGORE (PRESIDENT)
Authorized Official Telephone 4233023051
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 DEPARTMENT OF LABOR/FECA 020487811 01
KY 7100008280 05
TN 3732723 05
KY 7100170580 05
VA 1215082730 05
TN RAILROAD MEDICARE DF7910 01

Other Provider/Organization Names

Other Name Type Code
Ballad Health Medical Associates Doing Business As Name - Organization
BHMA Cardiovascular and Thoracic Surgery Johnson City Other Name - Individual/Organization
MSMG CVT JC 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 310 N STATE OF FRANKLIN RD
SUITE 101
City JOHNSON CITY
State TN
Zip Code 37604-6008

Providers in the same location

NPI Name Taxonomy Address Enumeration
1598769903 Pamela L. Greer Nurse Practitioner 310 N State of Franklin Rd, Ste 202, Johnson City, TN 37604-6063 2005-06-13
1659817377 Shandon Morrison Nurse Practitioner 310 N State of Franklin Rd, Suite 202, Johnson City, TN 37604-6008 2017-01-19
1366990442 Michelle L Jones Nurse Practitioner 310 N State of Franklin Rd, Suite 400, Johnson City, TN 37604-6008 2016-09-16
1881147692 Deretsa Perry Nurse Practitioner 310 N State of Franklin Rd, Suite 400, Johnson City, TN 37604-6008 2016-07-28
1053762112 Blue Ridge Medical Management Corporation Internal Medicine 310 N State of Franklin Rd, Ste 301a, Johnson City, TN 37604-6008 2016-06-29
1669864377 Emily Kathleen Price Nurse Practitioner 310 N State of Franklin Rd, Suite 400, Johnson City, TN 37604-6008 2015-03-04
1366862336 Miranda Kyker Nurse Practitioner 310 N State of Franklin Rd, Suite 400, Johnson City, TN 37604-6008 2014-04-17
1114340445 Blue Ridge Medical Management Surgery 310 N State of Franklin Rd, Suite 101b, Johnson City, TN 37604-6008 2014-01-22
1225389349 Trinity Cancer Care, P.C. Internal Medicine 310 N State of Franklin Rd, Suite 401, Johnson City, TN 37604-6073 2012-09-28
1285936930 Ryan Kara Judson Nurse Practitioner 310 N State of Franklin Rd, Suite 400, Johnson City, TN 37604-6008 2010-12-01
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1417560707 Brant Logan Nickens Physical Therapist 809 Lamont St and Veterans Way, Johnson City, TN 37604 2020-08-26
1952911562 David Sandlin Hobbs Pharmacist Lamont St &, Veterans Way, Johnson City, Tn 37604, Johnson City, TN 37604 2020-08-07
1528688272 Whitney Marie Ward Physical Therapist Lamont Street and Veterans Way, Johnson City, TN 37604 2020-04-23
1861050015 Akesh Thomas Student in an Organized Health Care Education/Training Program Johnson City Medical Center, 400 N State of Franklin Rd, Johnson City, TN 37604 2019-06-03
1336629021 Medical Education Assistance Corporation Clinic/Center 820 W Market St, Johnson City, TN 37604 2018-08-21
1093208951 Lauren Tiffany Hayden Physician Assistant 403 N State of Franklin Rd Woodridge Hospital, Johnson City, TN 37604 2018-06-14
1174014450 Jerica Moore Specialist/Technologist 1041 Hamiltion Place Dr., Johnson City, TN 37604 2018-05-23
1053809442 Syed Ghazanfar Hasan Student in an Organized Health Care Education/Training Program Etsu Psychiatry and Behavioral Sciences Department, 1276 Gilbreath Dr., Johnson City, TN 37604 2018-05-01
1699262485 Sonia Kumari Oad Student in an Organized Health Care Education/Training Program 178 West Maple St, Johnson City, TN 37604 2018-04-17
1821519364 Mahmoud El Iskandarani Internal Medicine 1084 W Oakland Avenue, 748, Johnson City, TN 37604 2017-07-06
Find all providers in zip 37604

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
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
1912078254 Kevin Casey Thoracic Surgery (Cardiothoracic Vascular Surgery) 310 N State of Franklin Rd, Suite 101, Johnson City, TN 37604-6008 2006-11-10
1801806062 Binghamton Cardiovascular & Thoracic Surgeons, P.C. Thoracic Surgery (Cardiothoracic Vascular Surgery) 41 Arch St, Johnson City, NY 13790-2101 2006-08-09
1366479453 Kenneth Ting-hung Wong Thoracic Surgery (Cardiothoracic Vascular Surgery) 30 Harrison St Ste 250, Johnson City, NY 13790-2176 2006-06-26
1043263783 Charles William Raudat Thoracic Surgery (Cardiothoracic Vascular Surgery) 310 N State of Franklin Rd, Suite 101, Johnson City, TN 37604-6008 2006-05-17
1629030267 Anthony J Palazzo Thoracic Surgery (Cardiothoracic Vascular Surgery) 310 N State of Franklin Rd, Suite 101, Johnson City, TN 37604-6008 2006-04-06
1427045996 D Glenn Pennington Thoracic Surgery (Cardiothoracic Vascular Surgery) 325 N State of Franklin Rd, Johnson City, TN 37604-6062 2005-09-30

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
1023358793 David H Sewell Thoracic Surgery (Cardiothoracic Vascular Surgery) 1723 Orchard Pl, Kingsport, TN 37660-4523 2013-02-18
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
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
1174713457 S. Salman Ahmad Shah Thoracic Surgery (Cardiothoracic Vascular Surgery) 101 Gillespie Dr Apt 11207, Franklin, TN 37067-7550 2007-08-01
Find all providers with the same taxonomy

Competitor

Search similar providers

City JOHNSON CITY
Zip Code 37604

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