BLUE RIDGE MEDICAL MANAGEMENT CORPORATION


Address: 630 Oneega Ln, Suite D, Erwin, TN 37650-2197
Phone: 4237430440

BLUE RIDGE MEDICAL MANAGEMENT CORPORATION (NPI# 1831212448) 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) 1831212448
Entity Type Organization
Organization Name BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Other Organization Name DBA HEART & VASCULAR GROUP
Practice Address 630 Oneega Ln
Suite D
Erwin
TN 37650-2197
Practice Telephone 4237430440
Practice Fax Number 4237432828
Mailing Telephone 4237430440
Mailing Fax Number 4237432828
Enumeration Date 2007-04-09
Last Update Date 2009-04-01
Authorized Official Name CARL STEVEN KILGORE (PRESIDENT)
Authorized Official Telephone 4239155100
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
DBA Heart & Vascular Group 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 630 ONEEGA LN
SUITE D
City ERWIN
State TN
Zip Code 37650-2197

Providers in the same location

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
1811380520 Blue Ridge Medical Management Surgery 630 Oneega Ln, Suite D, Erwin, TN 37650-2197 2015-03-05
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
1275543209 Cumberland Clinic, PC Internal Medicine 630 Oneega Ln, Suite D, Erwin, TN 37650-2197 2006-08-09

Providers in the same zip code

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 Information

Taxonomy Code 207RC0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Cardiovascular Disease

Taxonomy Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1205253770 Blue Ridge Medical Management Corporation Internal Medicine 800 S Mohawk Dr, Suite C, Erwin, TN 37650-2124 2014-03-24

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1053935437 Cvc Pllc Internal Medicine 22 Deepwood Dr, Jackson, TN 38305-9679 2020-06-02
1073085189 Heart Center Usa Incorporated Internal Medicine 6500 Kirby Gate Blvd, Memphis, TN 38119-2673 2018-12-31
1700357035 Morristown Heart, Pllc Internal Medicine Morristown Heart, Pllc, 735 Mcfarland Street, Morristown, TN 37814 2018-12-16
1902353444 Hh Physician Care-elkton Tennessee Internal Medicine 1446 Bryson Road, Ardmore, TN 38449 2016-09-01
1902352750 Rose Marie Robertson Internal Medicine 4003 Newman Pl, Nashville, TN 37204-4308 2016-08-31
1013374073 Amg Crockett LLC Internal Medicine 1611 S Locust Ave, Suite 200b, Lawrenceburg, TN 38464-4055 2016-01-21
1821488727 Bruce Wilson Md PC Internal Medicine 5885 Airline Rd, # 985, Arlington, TN 38002-5127 2015-01-29
1982013215 Blue Ridge Medical Management Corporation Internal Medicine 1901 S Shady St Ste 1, Mountain City, TN 37683-2021 2014-08-12
1871835892 Robert Maxwell Smith Internal Medicine 1004 Deep Woods Trl, Brentwood, TN 37027-6309 2013-03-18
1750630794 David Marc Mirvis Internal Medicine 5676 Redding Ave, Memphis, TN 38120-1848 2012-09-06
Find all providers with the same taxonomy

Competitor

Search similar providers

City ERWIN
Zip Code 37650

Improve Information

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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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