BLUE RIDGE MEDICAL MANGEMENT CORPORATION (NPI# 1699943951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699943951 |
| Entity Type | Organization |
| Organization Name | BLUE RIDGE MEDICAL MANGEMENT CORPORATION |
| Other Organization Name | DBA PINNACLE SURGICAL CARE |
| Practice Address |
81 Carroll Street Lebanon VA 24266 |
| Mailing Address |
Po Box 3600 Lebanon VA 24266-0200 |
| Practice Telephone | 2768838085 |
| Practice Fax Number | 2768838090 |
| Mailing Telephone | 2768838471 |
| Mailing Fax Number | 2768838475 |
| Enumeration Date | 2008-02-20 |
| Last Update Date | 2008-02-20 |
| Authorized Official Name | C STEVEN KILGORE (PRESIDENT) |
| Authorized Official Telephone | 4239155185 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| DBA Pinnacle Surgical Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043739881 | Blue Ridge Medical Mangement Corporation | Surgery | 2 Professional Park Dr Ste 11, Johnson City, TN 37604-6584 | 2017-09-13 |
| 1700313012 | Blue Ridge Medical Mangement Corporation | Clinic/Center | 1744 E Andrew Johnson Hwy, Greeneville, TN 37745-4278 | 2017-05-17 |
| Street Address |
81 CARROLL STREET |
| City | LEBANON |
| State | VA |
| Zip Code | 24266 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114541174 | Nextdoor Drug | Pharmacist | 932 W Main St, Lebanon, VA 24266 | 2020-06-04 |
| 1720638661 | Advanced Practice Primary Care, Pllc | Nurse Practitioner | 2336 Coal Tipple Hollow, Lebanon, VA 24266 | 2019-09-12 |
| 1962051763 | Best Life Physical Therapy Inc. | Physical Therapist | 383 Technology Park Drive, Lebanon, VA 24266 | 2019-09-05 |
| 1093361024 | Alexis Rae Carson | Psychologist | 84 Dr Lorraine C. Turner Dr. Russell County Public Scho, Lebanon, VA 24266 | 2019-08-15 |
| 1457821019 | Blue Ridge Medical Management Corporation | Internal Medicine | 71 S Flannagan Ave Suite 81, Lebanon, VA 24266 | 2018-11-27 |
| 1457867202 | Elizabeth Altizer Baker | Speech-Language Pathologist | 84 Lorraine C. Turner Dr., Russell County Public Schools, Lebanon, VA 24266 | 2017-12-15 |
| 1851805683 | Laura Hankins Vencill | Speech-Language Pathologist | Russell County Public Schools, 84 Lorraine C. Turner Dr., Lebanon, VA 24266 | 2017-12-01 |
| 1487168670 | Stacy Nichole Davis | Counselor | 78 Rogers St, Lebanon, VA 24266 | 2017-11-27 |
| 1568976751 | Kelly Elizabeth Smith | Counselor | 216 Gilmer Street, Lebanon, VA 24266 | 2017-11-27 |
| 1659883312 | Sara K Poole | Occupational Therapist | 408 Fields Ave., Lebanon, VA 24266 | 2017-11-02 |
| Find all providers in zip 24266 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720216898 | Kyle Ward | Surgery | 120 Hospital Dr Ste 200, Lebanon, MO 65536-9227 | 2009-06-29 |
| 1386866853 | Raman Kumar | Surgery | 735 Norman Dr Ste 3, Lebanon, PA 17042-7559 | 2007-05-03 |
| 1194733832 | Lebanon Surgical Associates | Surgery | Carroll & Tate Sts., Suite 4, Lebanon, VA 24266 | 2006-08-04 |
| 1922028711 | Terry Wayne Shortridge | Surgery | 55 Twin Oaks, Suite C-1, Lebanon, OR 97355-2864 | 2006-07-21 |
| 1164451621 | Jimmy R Maneksha | Surgery | 125 Mascoma Street, Alice Peck Day Memorial Hospital, Lebanon, NH 03766 | 2006-06-30 |
| 1255383766 | Larimore C Warren | Surgery | 1405 W Baddour Pkwy, Suite 100, Lebanon, TN 37087-2567 | 2006-05-16 |
| 1174571863 | Barbara A. Klatchko, M.d., Ltd. | Surgery | 402 S 12th St, Lebanon, PA 17042-6617 | 2006-05-04 |
| 1215991443 | Kevin D Slentz | Surgery | 429 W Walnut St, Lebanon, KY 40033-1346 | 2006-04-14 |
| 1386612943 | Donald Duane Coker | Surgery | 229 South Fourth Street, Lebanon, PA 17042-1281 | 2006-03-09 |
| 1154318673 | David R Kroner | Surgery | 17 Alice Peck Day Dr Unit A, Lebanon, NH 03766-2684 | 2005-09-30 |
| Find all providers in LEBANON | ||||
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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.