Charles W Raudat
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION


Address: 310 N State of Franklin, Suite 301a, Johnson City, TN 37604-0000
Phone: 4234316816

Charles W Raudat (NPI# 1043263783, PAC ID# 0143295295) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is THORACIC SURGERY.

Physician Overview

Nation Provider ID (NPI) 1043263783
PAC ID by PECOS 0143295295
Professional Enrollment ID I20130918000176
Full Name Charles W Raudat
Organization Legal Name BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Address 310 N State of Franklin
Suite 301a
Johnson City
TN 37604-0000
Phone Number 4234316816
Gender M
Credential DO
Medical School PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year 1991
Primary Specialty THORACIC SURGERY
Group Practice PAC ID 9739099441
Number of Group Practice Members 316
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
440063 JOHNSON CITY MEDICAL CENTER
440184 FRANKLIN WOODS COMMUNITY HOSPITAL
490053 JOHNSTON MEMORIAL HOSPITAL
490038 SMYTH COUNTY COMMUNITY HOSPITAL

Other Locations

Address Phone Organization
310 N State of Franklin, Suite 301a, Johnson City, TN 37604-0000 4234316816 BLUE RIDGE MEDICAL MANAGEMENT CORPORATION

Organization Information

Organization Legal Name BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Physicians 289

Physicians with the same organization

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

Office Location

Street Address 310 N STATE OF FRANKLIN
SUITE 301A
City JOHNSON CITY
State TN
Zip 37604-0000

Physicians in the same location

Name Specialty Organization Address
Steven E Norman Family Practice Blue Ridge Medical Management Corporation 310 N State of Franklin, Suite 301a, Johnson City, TN 37604-0000
Richard K Reed Internal Medicine Blue Ridge Medical Management Corporation 310 N State of Franklin, Suite 301a, Johnson City, TN 37604-0000
James J Casey Jr. Physician Assistant Blue Ridge Medical Management Corporation 310 N State of Franklin, Suite 301a, Johnson City, TN 37604-0000
Terry C Borel Psychiatry Blue Ridge Medical Management Corporation 310 N State of Franklin, Suite 301a, Johnson City, TN 37604-0000
Donald R Lovelace Obstetrics/gynecology Blue Ridge Medical Management Corporation 310 N State of Franklin, Suite 301a, Johnson City, TN 37604-0000
Robert Edmund Walter Internal Medicine Blue Ridge Medical Management Corporation 310 N State of Franklin, Suite 301a, Johnson City, TN 37604-0000
John W Boyle Iii Obstetrics/gynecology Blue Ridge Medical Management Corporation 310 N State of Franklin, Suite 301a, Johnson City, TN 37604-0000
Malcolm Mathews Iii Medical Oncology Blue Ridge Medical Management Corporation 310 N State of Franklin, Suite 301a, Johnson City, TN 37604-0000
Deanna L Patterson Nurse Practitioner Blue Ridge Medical Management Corporation 310 N State of Franklin, Suite 301a, Johnson City, TN 37604-0000
Gordon S Bontrager Physician Assistant Blue Ridge Medical Management Corporation 310 N State of Franklin, Suite 301a, Johnson City, TN 37604-0000
Find all physicians in the same address

Physicians in the same zip code

Name Specialty Organization Address
Elnora Spradling Medical Oncology Blue Ridge Medical Management Corporation 1 Professional Pk Dr, Suite 21, Johnson City, TN 37604
Stephen A Cradic Chiropractic 206 Headtown Rd, Suite 100, Jonesbourough, TN 37604
Shweta Kharalkar Hospitalist Blue Ridge Medical Management Corporation 408 N State of Franklin, Suite 24, Johnson City, TN 37604
Devapiran Jaishankar Medical Oncology Blue Ridge Medical Management Corporation 1 Professional Pk Dr, Suite 21, Johnson City, TN 37604
Jamie E Carnell Nurse Practitioner Blue Ridge Medical Management Corporation 1 Professional Pk Dr, Suite 21, Johnson City, TN 37604
Sakshi Singal Hematology/oncology Blue Ridge Medical Management Corporation 1 Professional Pk Dr, Suite 21, Johnson City, TN 37604
Selma Zukic Kominek Neurosurgery Blue Ridge Medical Management Corporation 1 Professional Pk Dr, Suite 21, Johnson City, TN 37604
Kanishka Chakraborty Medical Oncology Blue Ridge Medical Management Corporation 1 Professional Pk Dr, Suite 21, Johnson City, TN 37604
Jessica Glasscock Mcgahey Nurse Practitioner Blue Ridge Medical Management Corporation 400 N State of Franklin, Room Lk015, Johnson City, TN 37604-0000
Adam Horn Nurse Practitioner Blue Ridge Medical Management Corporation 403 N State of Franklin Rd, Johnson City, TN 37604-0000
Find all physicians in zip 37604

Competitor

Search similar physicians

City JOHNSON CITY
Zip Code 37604
Specialty THORACIC SURGERY
City + Specialty JOHNSON CITY + THORACIC SURGERY

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Dataset Information

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.

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