Pavan K Annamaraju (NPI# 1609023837, PAC ID# 0547404089) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is HOSPITALIST.
| Nation Provider ID (NPI) | 1609023837 |
| PAC ID by PECOS | 0547404089 |
| Professional Enrollment ID | I20130923000629 |
| Full Name | Pavan K Annamaraju |
| Organization Legal Name | BLUE RIDGE MEDICAL MANAGEMENT CORPORATION |
| Address |
16000 Johnston Memorial Dr Suite 312 Abingdon VA 24211-7664 |
| Phone Number | 2762583733 |
| Gender | M |
| Graduation Year | 2005 |
| Primary Specialty | HOSPITALIST |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 9739099441 |
| Number of Group Practice Members | 316 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490053 | JOHNSTON MEMORIAL HOSPITAL |
| 490060 | CLINCH VALLEY MEDICAL CENTER |
| 490002 | RUSSELL COUNTY MEDICAL CENTER |
| 490038 | SMYTH COUNTY COMMUNITY HOSPITAL |
| 490117 | CARILION TAZEWELL COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 16000 Johnston Memorial Dr, Suite 312, Abingdon, VA 24211-7664 | 2762583733 | BLUE RIDGE MEDICAL MANAGEMENT CORPORATION |
| 245 Medical Park Dr, B, Marion, VA 24354-1100 | 2762581985 | 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 |
16000 JOHNSTON MEMORIAL DR SUITE 312 |
| City | ABINGDON |
| State | VA |
| Zip | 24211-7664 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David H Smith | General Surgery | Abingdon Physician Partners | 16000 Johnston Memorial Dr, Suite 101, Abingdon, VA 24211-7664 |
| Maung M Kyi | Nephrology | Blue Ridge Medical Management Corporation | 16000 Johnston Memorial Dr, 213a, Abingdon, VA 24211-7659 |
| Melanie A Leight | Obstetrics/gynecology | Blue Ridge Medical Management Corporation | 16000 Johnston Memorial Dr, Suite 200, Abingdon, VA 24211-7664 |
| Lora D Reynolds | Nurse Practitioner | Blue Ridge Medical Management Corporation | 16000 Johnston Memorial Dr, 112a, Abingdon, VA 24211-7659 |
| Carl Thurman Harrison | Nurse Practitioner | Western Virginia Regional Emergency Physicians LLC | 16000 Johnston Memorial Dr, Abingdon, VA 24211-7664 |
| Norah Ann Nutter | Nurse Practitioner | Blue Ridge Medical Management Corporation | 16000 Johnston Memorial Dr, Suite 200, Abingdon, VA 24211-7664 |
| Jacqueline L Laraway | Nurse Practitioner | Blue Ridge Medical Management Corporation | 16000 Johnston Memorial Dr, Suite 4, Abingdon, VA 24211-7664 |
| Brandon Scott Babcock | Internal Medicine | Blue Ridge Medical Management Corporation | 16000 Johnston Memorial Dr, 4th, Abingdon, VA 24211-7664 |
| Ahmad N Hammad | Medical Oncology | Abingdon Physician Partners | 16000 Johnston Memorial Dr, Abingdon, VA 24211-7664 |
| William J Baker | Internal Medicine | Blue Ridge Medical Management Corporation | 16000 Johnston Memorial Dr, Fl 7, Abingdon, VA 24211-7664 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mahmoud Amarna | Pulmonary Disease | Blue Ridge Medical Management Corporation | 16000 Johnson Memorial Dr, Suite 112d, Abingdon, VA 24211-0000 |
| Jonathan T Swank | Internal Medicine | Blue Ridge Medical Management Corporation | 16000 Johnston Memorial Dr, Suite 213, Abingdon, VA 24211-0001 |
| Timothy M Davis | Medical Oncology | Abingdon Physician Partners | 16000 Johnston Memorial Dr, Suite 300, Abingdon, VA 24211-0005 |
| Lillian H Ogle | Clinical Social Worker | 390 Commerce Dr C, Abingdon, VA 24211-3876 | |
| Candace R Moore | Physical Therapy | 25298 Lee Hwy, Abingdon, VA 24211-7460 | |
| Dustin K Mcgann | Physical Therapy | Benchmark Physical Therapy of Va, LLC | 26106 Lee Hwy, Abingdon, VA 24211-7502 |
| Doug W Rohr | Physical Therapy | Benchmark Physical Therapy of Va, LLC | 26106 Lee Hwy, Abingdon, VA 24211-7502 |
| Meggon Noel Mink | Physical Therapy | Benchmark Physical Therapy of Va, LLC | 26106 Lee Hwy, Abingdon, VA 24211-7502 |
| Whitney Peters | Physical Therapy | Benchmark Physical Therapy of Va, LLC | 26106 Lee Hwy, Abingdon, VA 24211-7502 |
| Remona Carol Cordle | Physical Therapy | Benchmark Physical Therapy of Va, LLC | 26106 Lee Hwy, Abingdon, VA 24211-7502 |
| Find all physicians in zip 24211 | |||
| City | ABINGDON |
| Zip Code | 24211 |
| Specialty | HOSPITALIST |
| City + Specialty | ABINGDON + HOSPITALIST |
Please comment or provide details below to improve the information on Pavan K Annamaraju.
| 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.