BLUE RIDGE MEDICAL MANAGEMENT (NPI# 1598141970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598141970 |
| Entity Type | Organization |
| Organization Name | BLUE RIDGE MEDICAL MANAGEMENT |
| Other Organization Name | BALLAD HEALTH MEDICAL ASSOCIATES |
| Practice Address |
245 Medical Park Dr Marion VA 24354-1100 |
| Practice Telephone | 2763782021 |
| Practice Fax Number | 2763782025 |
| Mailing Telephone | 2763782021 |
| Mailing Fax Number | 2763782025 |
| Enumeration Date | 2015-08-07 |
| Last Update Date | 2019-03-29 |
| Authorized Official Name | CARL STEVEN KILGORE (PRESIDENT) |
| Authorized Official Telephone | 4233023051 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1598141970 | 05 |
| Other Name | Type Code |
|---|---|
| Ballad Health Medical Associates | Doing Business As Name - Organization |
| BHMA Inpatient Rehabilitation Services SCCH | Other Name - Individual/Organization |
| MSMG Inpatient Rehab Services-SCCH | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1811380520 | Blue Ridge Medical Management | Surgery | 630 Oneega Ln, Suite D, Erwin, TN 37650-2197 | 2015-03-05 |
| 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 |
245 MEDICAL PARK DR |
| 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 |
| 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 |
| 1285022095 | Jaimie Leanne Shelton | Physician Assistant | 245 Medical Park Dr, Suite C, Marion, VA 24354-1100 | 2014-12-31 |
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| 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 | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1194088427 | Bei Wang | Internal Medicine | 2703 Prestwick Way, Marion, IL 62959 | 2012-06-21 |
| 1063704765 | Blue Ridge Medical Management Corporation | Internal Medicine | 1118 Snider St, Marion, VA 24354-4216 | 2011-05-12 |
| 1194958249 | Crittenden Hospital Association | Internal Medicine | 310 Judge Smith Dr, Marion, AR 72364-2220 | 2009-08-24 |
| 1033340179 | Michael P Lawler Md S Corp | Internal Medicine | 1129 N Carbon St Ste 3, Marion, IL 62959-1068 | 2009-08-06 |
| 1518146471 | Tarlok S Purewal M D Inc | Internal Medicine | 1130 Independence Ave, Marion, OH 43302-6375 | 2007-10-29 |
| 1689873119 | Access Medical Group, LLC | Internal Medicine | 1135 Lake Blvd Apt 3, Marion, OH 43302-6685 | 2007-07-14 |
| 1972659928 | Pb Singh Md Inc | Internal Medicine | 1199 Delaware Ave Ste 102, Marion, OH 43302-7462 | 2007-01-25 |
| 1841385127 | Harshvardhan Poseria | Internal Medicine | 1672 Union Park Dr, Marion, OH 43302-6584 | 2006-10-04 |
| 1891895876 | Florian John Ragaz | Internal Medicine | 231 East Court Street, Marion, NC 28752 | 2006-09-22 |
| 1376658948 | Khozema Rajkotwala Md Inc | Internal Medicine | 990 South Prospect Street, Suite 2, Marion, OH 43302 | 2006-08-21 |
| 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.