BLUE RIDGE MEDICAL MANAGEMENT CORPORATION (NPI# 1326159567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326159567 |
| Entity Type | Organization |
| Organization Name | BLUE RIDGE MEDICAL MANAGEMENT CORPORATION |
| Other Organization Name | BALLAD HEALTH MEDICAL ASSOCIATES |
| Practice Address |
245 Medical Park Dr Suite A Marion VA 24354-1100 |
| Practice Telephone | 2763781260 |
| Practice Fax Number | 2763781265 |
| Mailing Telephone | 2763781260 |
| Mailing Fax Number | 2763781265 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2019-03-29 |
| Authorized Official Name | C STEVEN KILGORE (PRESIDENT) |
| Authorized Official Telephone | 4233023051 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1326159567 | 05 | |
| KY | 7100108970 | 05 |
| Other Name | Type Code |
|---|---|
| Ballad Health Medical Associates | Doing Business As Name - Organization |
| BHMA Heart and Vascular Care Marion | Other Name - Individual/Organization |
| MSMG Cardiology MAR | Former Legal Business Name - Organization |
| 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 |
| 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 |
| Street Address |
245 MEDICAL PARK DR SUITE A |
| City | MARION |
| State | VA |
| Zip Code | 24354-1100 |
| 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 | ||||
| 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 Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295980837 | Marion Cardiology,inc. | Internal Medicine | 1051 Harding Memorial Pkwy Ste A, Marion, OH 43302-6347 | 2008-11-24 |
| 1447430863 | Cardiovascular Associates PC | Internal Medicine | 330 N Wabash Ave Ste 310, Marion, IN 46952-2691 | 2007-11-14 |
| 1154495810 | Shelley Falik | Internal Medicine | 3307 W Commercial Rd, Marion, IL 62959-5509 | 2006-11-17 |
| 1104894864 | Mayank Kantilal Shah | Internal Medicine | 1051 Harding Memorial Pkwy, Suite A, Marion, OH 43302-6347 | 2006-03-09 |
| 1912905977 | Mark Alan Hayes | Internal Medicine | 31 E Medical Ct, Suite 2, Marion, NC 28752-4969 | 2005-07-13 |
| 1326043571 | Gary A Frick | Internal Medicine | 1123 N Western Ave, Marion, IN 46952-2501 | 2005-06-15 |
| 1275097339 | Crittenden Community Hospital LLC | Internal Medicine | 520 W Gum St, Marion, KY 42064-1516 | 2019-01-23 |
| 1639569171 | Cardiovascular Consultants of Marion PC | Internal Medicine | 1123 N Western Ave, Marion, IN 46952-2501 | 2015-02-04 |
| 1326450743 | Blue Ridge Healthcare Medical Group, Inc | Internal Medicine | 2293 Sugar Hill Rd, Suite A, Marion, NC 28752-7787 | 2014-05-21 |
| 1932465465 | Kyle Joseph Feldmann | Internal Medicine | 1050 Delaware Ave, Marion, OH 43302-6416 | 2012-04-10 |
| Find all providers in MARION | ||||
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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.