John M Kerr Jr. (NPI# 1962401448, PAC ID# 5496840472) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1962401448 |
| PAC ID by PECOS | 5496840472 |
| Professional Enrollment ID | I20071005000265 |
| Full Name | John M Kerr Jr. |
| Organization Legal Name | BLUE RIDGE MEDICAL MANAGEMENT CORPORATION |
| Address |
58 Carroll St 2d Lebanon VA 24266 |
| Phone Number | 2768838091 |
| Gender | M |
| Medical School | MEDICAL COLLEGE OF VIRGINIA COMMONWEALTH UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1986 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 9739099441 |
| Number of Group Practice Members | 316 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490002 | RUSSELL COUNTY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 58 Carroll St, 2d, Lebanon, VA 24266 | 2768838091 | BLUE RIDGE MEDICAL MANAGEMENT CORPORATION |
| Organization Legal Name | BLUE RIDGE MEDICAL MANAGEMENT CORPORATION |
| Physicians | 289 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deneene R Booth | Anesthesiology | Blue Ridge Medical Management Corporation | 601 Campus Dr, Abingdon, VA 24210-9700 |
| Shasta Nicole Bowens | Nurse Practitioner | Blue Ridge Medical Management Corporation | 2000 Brookside Dr, Suite 3, Kingsport, TN 37660-4627 |
| Luc Jasmin | Neurosurgery | Blue Ridge Medical Management Corporation | 701 Med Tech Pkwy, Suite 300, Johnson City, TN 37604-2365 |
| Sandra Michelle Sparks | Nurse Practitioner | Blue Ridge Medical Management Corporation | 310 N State of Franklin Rd, Suite 400, Johnson City, TN 37604-6529 |
| Rebecca Sacora | Family Medicine | Blue Ridge Medical Management Corporation | 2030 Temple Hill Rd, Suite B, Erwin, TN 37650-8721 |
| Leslie Renee Barlow | Nurse Practitioner | Blue Ridge Medical Management Corporation | 1201 Snider St, Marion, VA 24354-4221 |
| Sheila Ann Matherly | Nurse Practitioner | Blue Ridge Medical Management Corporation | 404 Bemberg Rd, Elizabethton, TN 37643-2938 |
| Melanie Hagerman | Nurse Practitioner | Blue Ridge Medical Management Corporation | 2 Professional Park Dr, Suite 11, Johnson City, TN 37604-6584 |
| Jessica Glasscock Mcgahey | Nurse Practitioner | Blue Ridge Medical Management Corporation | 400 N State of Franklin, Room Lk015, Johnson City, TN 37604-0000 |
| Amanda Elizabeth Loughlin | Nurse Practitioner | Blue Ridge Medical Management Corporation | 71 S Flannagan Ave, Lebanon, VA 24266 |
| Street Address |
58 CARROLL ST 2D |
| City | LEBANON |
| State | VA |
| Zip | 24266 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda Elizabeth Loughlin | Nurse Practitioner | Blue Ridge Medical Management Corporation | 71 S Flannagan Ave, Lebanon, VA 24266 |
| Amanda L Daugherty | Nurse Practitioner | Blue Ridge Medical Management Corporation | 58 Carrol St, Suite 2037, Lebanon, VA 24266 |
| Samuel H Melton | Emergency Medicine | 2003 E Main St, P.o. Box 2964, Lebanon, VA 24266 | |
| Sandra M Altenbach | Nurse Practitioner | Samina Yousuf Md PC | 591 Us Hwy 19, Lebanon, VA 24266 |
| Karilyn E Shipman | Clinical Social Worker | 320 Sword St, Lebanon, VA 24266 | |
| Emily Nichole Fields | Nurse Practitioner | Blue Ridge Medical Management Corporation | 58 Carrol St, Suite 2037, Lebanon, VA 24266 |
| Alexander B Baer | Emergency Medicine | Western Virginia Regional Emergency Physicians LLC | 58 Carrol St, Lebanon, VA 24266 |
| Sasha Musick | Nurse Practitioner | Blue Ridge Medical Management Corporation | 58 Carrol St, Suite 2037, Lebanon, VA 24266 |
| Norman L Rexrode Jr. | Emergency Medicine | Western Virginia Regional Emergency Physicians LLC | 58 Carrol St, Lebanon, VA 24266 |
| Zachary Neil Blackmon | Emergency Medicine | Western Virginia Regional Emergency Physicians LLC | 58 Carrol St, Lebanon, VA 24266 |
| Find all physicians in zip 24266 | |||
| City | LEBANON |
| Zip Code | 24266 |
| Specialty | GENERAL SURGERY |
| City + Specialty | LEBANON + GENERAL SURGERY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.