BLUE RIDGE MEDICAL MANAGEMENT CORPORATION (NPI# 1215395843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215395843 |
| Entity Type | Organization |
| Organization Name | BLUE RIDGE MEDICAL MANAGEMENT CORPORATION |
| Other Organization Name | BALLAD HEALTH MEDICAL ASSOCIATES |
| Practice Address |
1616 N Main St Ste 100a Marion VA 24354-4473 |
| Practice Telephone | 2767839752 |
| Practice Fax Number | 2767837786 |
| Mailing Telephone | 2767839752 |
| Mailing Fax Number | 2767837786 |
| Enumeration Date | 2016-02-10 |
| Last Update Date | 2019-03-29 |
| Authorized Official Name | CARL STEVEN KILGORE (PRESIDENT) |
| Authorized Official Telephone | 4233023051 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | DEPARTMENT OF LABOR | 020487804 | 01 |
| VA | 1215395843 | 05 |
| Other Name | Type Code |
|---|---|
| Ballad Health Medical Associates | Doing Business As Name - Organization |
| BHMA Orthopedics Marion | Other Name - Individual/Organization |
| MSMG Orthopedics Marion | 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 |
1616 N MAIN ST STE 100A |
| City | MARION |
| State | VA |
| Zip Code | 24354-4473 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588628705 | Paul Garland Brown | Family Medicine | 1616 N Main St, Suite C, Marion, VA 24354-4398 | 2006-04-14 |
| 1508223116 | Blue Ridge Medical Management Corporation | Surgery | 1616 N Main St, Suite 100 B, Marion, VA 24354-4398 | 2016-01-27 |
| 1578966073 | Matthew R Williams | Physician Assistant | 1616 N Main St, Ste 100a, Marion, VA 24354-4473 | 2014-09-29 |
| 1396146460 | Cameron M Ratcliff | Physician Assistant | 1616 N Main St, Ste 100a, Marion, VA 24354-4473 | 2014-09-09 |
| 1538428883 | Emily Gatewood Buchanan Bralley | Family Medicine | 1616 N Main St, Suite C, Marion, VA 24354-4398 | 2012-05-08 |
| 1801181367 | James Ryan Mcglothlin | Family Medicine | 1616 N Main St, Suite C, Marion, VA 24354-4398 | 2011-06-13 |
| 1346357951 | Todd T Hannula | Orthopaedic Surgery | 1616 N Main St, Ste 100a, Marion, VA 24354-4473 | 2006-08-23 |
| 1508813478 | Chelsea Coffey Hamman | Family Medicine | 1616 N Main St, Suite C, Marion, VA 24354-4398 | 2006-05-27 |
| 1205890050 | Jennifer Quesinberry Jennings | Family Medicine | 1616 N Main St, Suite C, Marion, VA 24354-4398 | 2006-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407352461 | Heath Andrew Nier | Physical Therapist | 1141 N Main St Ste 41, Marion, VA 24354 | 2018-03-30 |
| 1255748513 | Lou Fincher | Specialist/Technologist | 601 Radio Hill Dr., Marion, VA 24354 | 2014-07-18 |
| 1467869040 | Tessa Suzanne Brown | Nurse Practitioner | 1204 N. Main Street, Marion, VA 24354 | 2014-07-16 |
| 1780927129 | Jessika Nikhole Schottelkotte | Nurse Practitioner | 245 Medical Park Dr., Marion, VA 24354 | 2013-04-04 |
| 1083893598 | Norah Ann Nutter | Nurse Practitioner | 1616 N Main St Ste 100b, Marion, VA 24354 | 2007-10-31 |
| 1962621052 | Jonathan E Rouse | Durable Medical Equipment & Medical Supplies | 242 Seven Mile Ford Rd, Marion, VA 24354 | 2007-04-25 |
| 1699831511 | Mel Leaman Free Clinic At Emory & Henry College, Inc. | Clinic/Center | 601 Radio Hill Road, Marion, VA 24354 | 2006-12-28 |
| 1568548741 | Hunter Kevin Woods | Dentist | 639 Park Boulevard, Marion, VA 24354 | 2006-10-31 |
| 1992804645 | Victoria Hollis Galloway | Physician Assistant | 601 Radio Hill Rd., Marion, VA 24354 | 2006-09-21 |
| 1154426351 | Joseph A. Beaty | Social Worker | 434 Mitchell Valley Road, Marion, VA 24354 | 2006-09-13 |
| Find all providers in zip 24354 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790257442 | Samuel G. Meredith Md Pa | Orthopaedic Surgery | 1229 State Highway 77 Ste 1, Marion, AR 72364-9050 | 2018-12-19 |
| 1205280922 | Harish Kempegowda | Orthopaedic Surgery | 3331 W Deyoung St Ste 201, Marion, IL 62959 | 2016-04-19 |
| 1710907498 | Ralph A Parks | Orthopaedic Surgery | 1209 Snider St, Marion, VA 24354-4221 | 2006-07-19 |
| 1013956325 | Samuel G. Meredith | Orthopaedic Surgery | 1231 State Highway 77 Ste 2, Marion, AR 72364-9045 | 2006-06-05 |
| 1447209127 | Marion Orthopedics Inc | Orthopaedic Surgery | 1043 Harding Memorial Parkway, Marion, OH 43302 | 2006-05-09 |
| 1699730226 | Robert Crowell | Orthopaedic Surgery | 1138 Independence Ave, Marion, OH 43302-6318 | 2006-04-18 |
| 1649243080 | David K. Halley | Orthopaedic Surgery | 1040 Delaware Avenue, Marion, OH 43302-6416 | 2006-02-08 |
| 1972982759 | Mission Medical Associates, Inc. | Orthopaedic Surgery | 100 Spaulding Rd, Marion, NC 28752-5115 | 2015-05-26 |
| 1386049328 | Central Indiana Orthopedics, PC | Orthopaedic Surgery | 1389 N Baldwin Ave, Marion, IN 46952-1913 | 2014-11-04 |
| 1619230802 | Marion Area Physicians LLC | Orthopaedic Surgery | 1040 Delaware Ave, Marion, OH 43302-6416 | 2012-06-21 |
| Find all providers in MARION | ||||
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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.