BLUE RIDGE MEDICAL MANAGEMENT CORPORATION (NPI# 1316328024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316328024 |
| Entity Type | Organization |
| Organization Name | BLUE RIDGE MEDICAL MANAGEMENT CORPORATION |
| Other Organization Name | BALLAD HEALTH MEDICAL ASSOCIATES |
| Practice Address |
444 Clinchfield St Suite 201b Kingsport TN 37660-3858 |
| Practice Telephone | 4233023135 |
| Practice Fax Number | 4232300224 |
| Mailing Telephone | 4233023135 |
| Mailing Fax Number | 4232300224 |
| Enumeration Date | 2015-06-18 |
| 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 | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1316328024 | 05 | |
| TN | Q013946 | 05 |
| Other Name | Type Code |
|---|---|
| Ballad Health Medical Associates | Doing Business As Name - Organization |
| BHMA Infectious Disease Kingsport | Other Name - Individual/Organization |
| MSMG Infectious Disease KPT | 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 |
444 CLINCHFIELD ST SUITE 201B |
| City | KINGSPORT |
| State | TN |
| Zip Code | 37660-3858 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174509533 | Joann W. D'aprile-lubrano | Family Medicine | 444 Clinchfield St, Suite 201, Kingsport, TN 37660-3606 | 2005-12-19 |
| 1366981805 | Appalachian Orthopaedic Associates PC | Orthopaedic Surgery | 444 Clinchfield St, Suite 303, Kingsport, TN 37660-3858 | 2017-02-16 |
| 1881069946 | Patricia Erwin | Nurse Practitioner | 444 Clinchfield St, Suite 103, Kingsport, TN 37660-3858 | 2015-12-01 |
| 1295143378 | Blue Ridge Medical Management | Internal Medicine | 444 Clinchfield St, Unit 201b, Kingsport, TN 37660-3606 | 2014-08-01 |
| 1205249885 | Blue Ridge Medical Management Corporation | Internal Medicine | 444 Clinchfield St, Unit 201, Kingsport, TN 37660-3858 | 2014-06-11 |
| 1699188276 | Blue Ridge Medical Management Corporation | Internal Medicine | 444 Clinchfield St, Unit 201a, Kingsport, TN 37660-3858 | 2014-06-11 |
| 1952728289 | Optimum Primary Care PC | Family Medicine | 444 Clinchfield St, Suite 303, Kingsport, TN 37660-3606 | 2014-03-25 |
| 1134543085 | Michael Shouse | Physical Therapist | 444 Clinchfield St, Suite 102, Kingsport, TN 37660-3606 | 2014-02-13 |
| 1861732968 | Carli Cooper | Family Medicine | 444 Clinchfield St, Suite 201, Kingsport, TN 37660-3858 | 2013-02-26 |
| 1639414196 | Nathan Andrew Clemson | Physical Therapist | 444 Clinchfield St, Suite 102, Kingsport, TN 37660-3606 | 2012-12-10 |
| Find all providers in the same location | ||||
| 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 Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700195153 | The Infusion Clinic | Internal Medicine | 1936 Brookside Dr, Suite D, Kingsport, TN 37660-4654 | 2010-10-04 |
| 1477598076 | Id Micro Pllc | Internal Medicine | 130 W Ravine Rd, Kingsport, TN 37660-3837 | 2006-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558777821 | Inderjeet Singh Brar | Internal Medicine | 6027 Walnut Grove Rd Ste 312, Memphis, TN 38120-2128 | 2014-07-08 |
| 1487094603 | River Valley Healthcare Services, Pllc | Internal Medicine | 1751 W Morris Blvd Ste 4, Morristown, TN 37813-3870 | 2013-07-02 |
| 1346512464 | Naseem Saadia | Internal Medicine | 200 New York Ave Ste 210, Oak Ridge, TN 37830-5225 | 2012-02-05 |
| 1710212840 | Michael Donahue Decker | Internal Medicine | 12500 Cookeville Boatdock Rd, Baxter, TN 38544-4851 | 2009-10-07 |
| 1316195241 | Internal Medicine & Infectious Diseases Specialists, Pllc | Internal Medicine | 6005 Park Ave Ste 429b, Memphis, TN 38119 | 2008-09-04 |
| 1811189004 | Douglas Leandre Bechard | Internal Medicine | 5746 Marlin Rd, Suite 500, Chattanooga, TN 37411-4009 | 2007-08-13 |
| 1932303856 | Muhammad Aijaz Khurshid | Internal Medicine | 3960 Knight Arnold Rd Ste 215, Memphis, TN 38118-3000 | 2007-06-13 |
| 1689882870 | Larry David Edwards | Internal Medicine | 71 Abbey Pl, Jackson, TN 38305-1793 | 2007-05-19 |
| 1831235845 | John Robert Koethe | Internal Medicine | Division of Infectious Diseases Vumc, 1161 21st Avenue South, A2200-mcn, Nashville, TN 37232-2582 | 2007-01-29 |
| 1215089289 | Horizon Healthcare Services Pllc | Internal Medicine | 8732 Rutledge Pike, Suite B, Rutledge, TN 37861 | 2007-01-18 |
| Find all providers with the same taxonomy | ||||
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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.