BLUE RIDGE MEDICAL MANAGEMENT CORPORATION (NPI# 1669918314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669918314 |
Entity Type | Organization |
Organization Name | BLUE RIDGE MEDICAL MANAGEMENT CORPORATION |
Other Organization Name | BALLAD HEALTH MEDICAL ASSOCIATES |
Practice Address |
2000 Brookside Dr 1st Floor Room 12 Kingsport TN 37660-4627 |
Practice Telephone | 4238575907 |
Practice Fax Number | 4238575904 |
Mailing Telephone | 4238575907 |
Mailing Fax Number | 4238575904 |
Enumeration Date | 2017-01-18 |
Last Update Date | 2019-03-29 |
Authorized Official Name | MR. CARL STEVEN KILGORE (PRESIDENT) |
Authorized Official Telephone | 4233023051 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208M00000X | Hospitalist | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VA | 1669918314 | 05 | |
TN | Q026077 | 05 |
Other Name | Type Code |
---|---|
Ballad Health Medical Associates | Doing Business As Name - Organization |
BHMA Transitional Care Kingsport | Other Name - Individual/Organization |
MSMG Transitional Care | Doing Business As 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 |
2000 BROOKSIDE DR 1ST FLOOR ROOM 12 |
City | KINGSPORT |
State | TN |
Zip Code | 37660-4627 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205825528 | Carol Ann Brown | Nurse Anesthetist, Certified Registered | 2000 Brookside Dr, Kingsport, TN 37660 | 2005-10-19 |
1548734338 | Jennifer Leigh Johnson | Nurse Practitioner | 2000 Brookside Dr, Kingsport, TN 37660-4627 | 2019-01-15 |
1730628785 | Amanda Genco | Clinical Nurse Specialist | 2000 Brookside Dr, Kingsport, TN 37660-4627 | 2017-02-22 |
1134585326 | Michael John May | Nurse Practitioner | 2000 Brookside Dr, Kingsport, TN 37660-4627 | 2016-01-05 |
1386039006 | Susan Netherland | Occupational Therapist | 2000 Brookside Dr, Kingsport, TN 37660-4627 | 2015-03-31 |
1467859066 | Ariel Rockett | Physical Therapist | 2000 Brookside Dr, Kingsport, TN 37660 | 2014-11-25 |
1881097913 | Randi Teaster | Nurse Practitioner | 2000 Brookside Dr, 3rd Floor, Kingsport, TN 37660-4627 | 2014-10-03 |
1043627441 | Valley Ridge Emergency Physicians, LLP | Emergency Medicine | 2000 Brookside Dr, Kingsport, TN 37660-4627 | 2014-07-17 |
1184053472 | Madonna Lin Banks | Registered Nurse | 2000 Brookside Dr, 3rd Floor, Kingsport, TN 37660-4627 | 2013-11-06 |
1043653991 | Anthony Tin-lung Ng | Emergency Medicine | 2000 Brookside Dr, Kingsport, TN 37660-4627 | 2013-04-10 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750909891 | Nancy Gober | Pharmacist | Holston Valley Medical Center Inpatient Pharmacy, 130 W Ravine, Kingsport, TN 37660 | 2020-07-06 |
1700437621 | Tammy Denise Leblanc | Technician | 125 Lancer Rd, Kingsport, TN 37660 | 2019-09-23 |
1831743392 | Independent Physical Therapy | Occupational Therapist | 1704 E. Stone Dr. Ste 120, Kingsport, TN 37660 | 2019-08-01 |
1871095315 | Macie Anderson | Nurse Practitioner | 411 Clay St, Kingsport, TN 37660 | 2018-03-01 |
1053813527 | Pulitzer Orthodontics, LLC | Dentist | 1200 Pulitzer Place, Kingsport, TN 37660 | 2018-03-01 |
1174038749 | Sbh-kingsport | Psychiatric Hospital | 1025 Executive Park Blvd, Kingsport, TN 37660 | 2017-12-05 |
1548771447 | Sara B Ball | Registered Nurse | 111 W Stone Dr Ste 240, Kingsport, TN 37660 | 2017-10-18 |
1821525361 | Ashley Brook Weems | Nurse Practitioner | Six Sheridan Square Suite 100, Kingsport, TN 37660 | 2017-05-15 |
1639625643 | Stephanie H Garris | Nurse Practitioner | 117 W Sevier Ave Ste 120, Kingsport, TN 37660 | 2016-08-30 |
1073965679 | Teresa Anne Starke | Physician Assistant | 8 Sheridan Square, Suite 110, Kingsport, TN 37660 | 2016-07-07 |
Find all providers in zip 37660 |
Taxonomy Code | 208M00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Hospitalist |
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235634361 | Linda Chong Moody | Hospitalist | 130 W Ravine Rd, Kingsport, TN 37660-3837 | 2018-03-29 |
1932537107 | Cardiovascular Associates, PC | Hospitalist | 130 W Ravine Rd, Kingsport, TN 37660-3837 | 2013-10-24 |
1629017025 | Mircea Boiciuc | Hospitalist | 2033 Meadowview Ln, Ste 200, Kingsport, TN 37660-7569 | 2006-06-04 |
1760469084 | Vitaly Nazarov | Hospitalist | 130 W Ravine Rd, Kingsport, TN 37660-3837 | 2005-12-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467095372 | Courtney Elizabeth English | Hospitalist | 5000 Hughes Xing # 110, Franklin, TN 37064-1738 | 2019-10-23 |
1871057158 | Williamson Hospitalist Program | Hospitalist | 4323 Carothers Pkwy Ste 205, Franklin, TN 37067-5916 | 2019-01-30 |
1659855435 | Lisa J Godwin | Hospitalist | 1419 Parkridge Cir, Knoxville, TN 37924-2154 | 2018-09-18 |
1689060907 | Desiree Burroughs-ray | Hospitalist | Regional One Health, 877 Jefferson Avenue, Memphis, TN 38103-2807 | 2015-04-14 |
1326434150 | Yvonne Berko | Hospitalist | 1005 Dr.d.b.todd Jr Blvd, Department of Internal Medicine, Nashville, TN 37208 | 2015-04-08 |
1942642152 | Stephanie Lynn Urell | Hospitalist | 200 S Westland Ave Ste 2, Gallatin, TN 37066-3030 | 2013-07-29 |
1093058018 | Ravi Prashant Mishra | Hospitalist | 2400 Patterson St Ste 311, Nashville, TN 37203-6533 | 2013-03-27 |
1053608364 | Serena Vayda | Hospitalist | 2312 Elliston Pl, Nashville, TN 37203-5259 | 2011-07-07 |
1588979470 | Matthew Erickson Edwards | Hospitalist | 1924 Alcoa Hwy Ste U56, Knoxville, TN 37920-1511 | 2010-08-16 |
1396064531 | Carroll Hospital Associates, Pllc | Hospitalist | 631 R. B. Wilson Drive, Huntingdon, TN 38344 | 2010-05-27 |
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.