BLUE RIDGE MEDICAL MANAGEMENT (NPI# 1811380520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811380520 |
| Entity Type | Organization |
| Organization Name | BLUE RIDGE MEDICAL MANAGEMENT |
| Other Organization Name | MSMG GEN SURG ERWIN |
| Practice Address |
630 Oneega Ln Suite D Erwin TN 37650-2197 |
| Practice Telephone | 4235427440 |
| Practice Fax Number | 4235427445 |
| Mailing Telephone | 4235427440 |
| Mailing Fax Number | 4235427445 |
| Enumeration Date | 2015-03-05 |
| Last Update Date | 2017-02-14 |
| Authorized Official Name | CARL STEPHEN KILGORE (PRESIDENT) |
| Authorized Official Telephone | 4239155116 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | Q012234 | 05 |
| Other Name | Type Code |
|---|---|
| MSMG GEN SURG ERWIN | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598141970 | Blue Ridge Medical Management | Internal Medicine | 245 Medical Park Dr, Marion, VA 24354-1100 | 2015-08-07 |
| 1790167351 | Blue Ridge Medical Management | Surgery | 58 Carroll Street, Suite 2d, Lebanon, VA 24266 | 2015-06-19 |
| 1689053753 | Blue Ridge Medical Management | Internal Medicine | 1497 W Elk Ave, Suite 20b, Elizabethton, TN 37643-2895 | 2015-05-22 |
| 1063819720 | Blue Ridge Medical Management | Surgery | 98 15th St Nw, Suite 201b, Norton, VA 24273-1600 | 2014-11-24 |
| 1295143378 | Blue Ridge Medical Management | Internal Medicine | 444 Clinchfield St, Unit 201b, Kingsport, TN 37660-3606 | 2014-08-01 |
| 1114340445 | Blue Ridge Medical Management | Surgery | 310 N State of Franklin Rd, Suite 101b, Johnson City, TN 37604-6008 | 2014-01-22 |
| 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 |
| New York State Corporations | BLUE RIDGE MEDICAL MANAGEMENT LLC | 2644 East 19th Street, Brooklyn, New York 11235 |
| Street Address |
630 ONEEGA LN SUITE D |
| City | ERWIN |
| State | TN |
| Zip Code | 37650-2197 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336146547 | Joseph Edward Bieberly | Family Medicine | 630 Oneega Ln, Ste A, Erwin, TN 37650-2199 | 2005-07-01 |
| 1013391507 | Mountain States Health Alliance | General Acute Care Hospital | 630 Oneega Ln, Suite E, Erwin, TN 37650-2197 | 2015-07-14 |
| 1568705457 | Blue Ridge Medical Management Corporation | Internal Medicine | 630 Oneega Ln, Suite A, Erwin, TN 37650-2197 | 2013-03-29 |
| 1164714234 | Unicoi County Medical Services, Inc. | Family Medicine | 630 Oneega Ln, Suite A, Erwin, TN 37650-2197 | 2011-05-09 |
| 1992004824 | Aimee Elliott | Nurse Practitioner | 630 Oneega Ln, Suite A, Erwin, TN 37650-2197 | 2011-03-17 |
| 1831212448 | Blue Ridge Medical Management Corporation | Internal Medicine | 630 Oneega Ln, Suite D, Erwin, TN 37650-2197 | 2007-04-09 |
| 1275543209 | Cumberland Clinic, PC | Internal Medicine | 630 Oneega Ln, Suite D, Erwin, TN 37650-2197 | 2006-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730725706 | Edwards Premier Healthcare LLC | Family Medicine | 1201 North Main Avenue, Erwin, TN 37650 | 2019-11-25 |
| 1235792953 | K -va -t Food Stores Inc | Durable Medical Equipment & Medical Supplies | 110 N. Industrial Drive, Erwin, TN 37650 | 2019-04-18 |
| 1114111622 | Tara Beth Coumoundouros | Pharmacist | 1252 N Main St, Erwin, TN 37650 | 2007-08-29 |
| 1679695779 | David Joe Walters | Chiropractor | 226 Love Street, Erwin, TN 37650 | 2007-04-06 |
| 1437218385 | Deandria Marie Bogart | Registered Nurse | 101okolona Drive, Erwin, TN 37650 | 2006-12-06 |
| 1881768281 | James Alexander Bowden | Emergency Medicine | 2030 Temple Hill Rd, Erwin, TN 37650 | 2006-11-17 |
| 1720161409 | Charlotte Freeman Shores | Case Manager/Care Coordinator | 218 N Main Street, Erwin, TN 37650 | 2006-10-24 |
| 1407940067 | Unicoi County Family Practice | Clinic/Center | 108 Gay Street, Erwin, TN 37650 | 2006-10-03 |
| 1972607653 | Celeste Carol Taylor | Counselor | 218 N Main, Erwin Mh Center, Erwin, TN 37650 | 2006-09-12 |
| 1972607679 | Rita Jean Richardson | Counselor | 218 N Main Ave, Erwin, TN 37650 | 2006-09-12 |
| Find all providers in zip 37650 | ||||
| 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 |
|---|---|---|---|---|
| 1497084495 | Paul Anthony Hollier Sr. | Surgery | 400 Kate Tipton Rd, Erwin, TN 37650-6413 | 2009-12-22 |
| 1043322415 | Surgical Group of Northeast Tennessee | Surgery | 361 Okolona Dr, Erwin, TN 37650-2183 | 2006-08-31 |
| 1588615496 | Furman E. Hawkins Jr. | Surgery | 800 S Mohawk Dr, Suite E, Erwin, TN 37650-2124 | 2006-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043855604 | East Tennessee Children's Hospital Association, Inc. | Surgery | 207 E Emory Rd, Powell, TN 37849-4047 | 2019-11-07 |
| 1235695891 | Bone and Joint Institute of Tennessee Surgery Center LLC | Surgery | 3000 Edward Curd Lane, Franklin, TN 37067 | 2019-02-19 |
| 1659835692 | Michael H. Schatzlein | Surgery | 1435 Tyne Blvd, Nashville, TN 37215-4425 | 2019-01-23 |
| 1205309382 | Md Webber PC | Surgery | 10810 Parkside Dr Ste 310, Knoxville, TN 37934-1986 | 2019-01-10 |
| 1699256040 | Amarnath Kadimella | Surgery | 1211 Union Ave Ste 340, Memphis, TN 38104-6663 | 2018-08-23 |
| 1043739287 | Sumner Physician Practices LLC | Surgery | 133 Hospital Dr Ste 700, Carthage, TN 37030-4010 | 2017-09-19 |
| 1790201135 | Surgical Services of East Tennessee PC | Surgery | 300 East Main St., Suite 301, Johnson City, TN 37601 | 2017-08-17 |
| 1275064057 | Surgical Services of America, PC | Surgery | 103 Forrest Crossing Blvd Ste 204, Franklin, TN 37064-5453 | 2017-03-23 |
| 1639618663 | Heather N Fesmire | Surgery | 1030 Mcarthur St., Manchester, TN 37355 | 2017-02-23 |
| 1275905440 | Milligan Surgical Associates, Pllc | Surgery | 1919 Pinnacle Pointe Way, Knoxville, TN 37922 | 2015-10-27 |
| 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.