BLUE RIDGE MEDICAL MANAGEMENT CORPORATION


Address: 245 Medical Park Dr, First Floor, Marion, VA 24354-1100
Phone: 2763781341

BLUE RIDGE MEDICAL MANAGEMENT CORPORATION (NPI# 1639463490) 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) 1639463490
Entity Type Organization
Organization Name BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Other Organization Name BALLAD HEALTH MEDICAL ASSOCIATES
Practice Address 245 Medical Park Dr
First Floor
Marion
VA 24354-1100
Practice Telephone 2763781341
Practice Fax Number 2763781205
Mailing Telephone 2763781341
Mailing Fax Number 2763781205
Enumeration Date 2011-06-08
Last Update Date 2019-03-29
Authorized Official Name CARL STEVEN KILGORE (PRESIDENT)
Authorized Official Telephone 4233023051
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207R00000X Internal Medicine Allopathic & Osteopathic Physicians
N 363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers
N 363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers
Y 208M00000X Hospitalist Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
VA 1639463490 05
TN Q002125 05
VA RAILROAD MEDICARE DT9105 01
VA DEPARTMENT OF LABOR 622799700 01

Other Provider/Organization Names

Other Name Type Code
Ballad Health Medical Associates Doing Business As Name - Organization
BHMA Hospitalists SCCH Other Name - Individual/Organization
MSMG HIMA SCCH 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 245 MEDICAL PARK DR
FIRST FLOOR
City MARION
State VA
Zip Code 24354-1100

Providers in the same location

NPI Name Taxonomy Address Enumeration
1073519377 Smyth County Community Hospital General Acute Care Hospital 245 Medical Park Dr, Marion, VA 24354-1100 2005-06-22
1447895420 Emily Grace Jones Nurse Practitioner 245 Medical Park Dr, Marion, VA 24354-1100 2019-11-13
1639649296 Blue Ridge Medical Management Corporation Internal Medicine 245 Medical Park Dr, Marion, VA 24354 2018-11-27
1164966909 Blue Ridge Medical Management Corporation Internal Medicine 245 Medical Park Dr, Suite E, Marion, VA 24354-1100 2016-12-13
1093168726 Heather Danielle Greear Nurse Practitioner 245 Medical Park Dr, Marion, VA 24354-1100 2016-07-18
1598141970 Blue Ridge Medical Management Internal Medicine 245 Medical Park Dr, Marion, VA 24354-1100 2015-08-07
1285016311 Stanley Brandon Grover Emergency Medicine 245 Medical Park Dr, Marion, VA 24354-1100 2015-06-25
1194104687 Smyth County Community Hospital General Acute Care Hospital 245 Medical Park Dr, Marion, VA 24354-1100 2015-05-29
1194104976 Sherry W. Love Registered Nurse 245 Medical Park Dr, Suite C, Marion, VA 24354 2015-05-26
1013302900 Joseph Michael Martin Emergency Medicine 245 Medical Park Dr, Marion, VA 24354-1100 2015-03-30
Find all providers in the same location

Providers in the same zip code

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 Information

Taxonomy Code 208M00000X
Grouping Allopathic & Osteopathic Physicians
Classification Hospitalist

Taxonomy Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1972152114 Amber Banks Hospitalist 441 N Wabash Ave, Marion, IN 46952-2612 2019-09-10
1558921791 Triven Health Hospitalist 1000 Mckinley Park Dr, Marion, OH 43302-6399 2019-06-19
1992265904 Mary Jacqueline Wharton Hospitalist 441 N Wabash Ave, Marion, IN 46952-2612 2019-03-25
1629552203 Meritra Physicians LLC Hospitalist 1000 Mckinley Park Dr, Marion, OH 43302-6397 2018-09-20
1700314770 Hospital Care Consultants of Marion, LLC Hospitalist 3333 W Deyoung St, Marion, IL 62959-5884 2017-06-02
1184018376 Illinois Hospitalist Partners, LLC Hospitalist 3333 W Deyoung St, Marion, IL 62959-5884 2015-03-25
1669634473 Kanwar Deep Singh Hospitalist 1000 Mckinley Park Dr, Marion General Hospital, Marion, OH 43302-6399 2008-07-02
1568620862 A. Reignier Magsombol Nohay Hospitalist 1000 Mckinley Park Dr, Suite Mri, Marion, OH 43302-6399 2008-05-23
1205011715 Gladys E Black Hospitalist 441 N Wabash Ave, Marion, IN 46952-2612 2008-01-02
1356520449 Marion Hospitalists Services, LLC Hospitalist 1040 Delaware Ave, Marion, OH 43302-6416 2007-10-25
Find all providers in MARION

Competitor

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City MARION
Zip Code 24354

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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.

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