Blue Ridge Medical Management Corporation, NPI 1265813026
Pulmonary Disease Physician in Abingdon, VA, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1265813026 |
| NPI Entity Type | Organization |
| Provider Name |
Blue Ridge Medical Management Corporation
Doing Business As |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 16000 Johnston Memorial Dr, Suite 212b, Abingdon, VA, US |
| Provider Mailing Address | 16000 Johnston Memorial Dr, Suite 212b, Abingdon, VA, US, 242117664 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | Carl Steven Kilgore |
| Official Position | PRESIDENT |
| Phone | 423-302-3051 |
Group Taxonomy
| Taxonomy Code | 193200000X |
| Taxonomy Name | 193200000X MULTI-SPECIALTY GROUP |
| Definition | A business group of one or more individual practitioners, who practice with different areas of specialization. |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Pulmonary Disease Physician |
| Classification | |
| Group | |
| Description | An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| No | |||||
| No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 1265813026 | VA | MEDICAID | 05 |
| 622523600 | VA | DEPARTMENT OF LABOR | 01 |
| DF7910 | VA | RR MEDICARE | 01 |
| Q013970 | TN | MEDICAID | 05 |
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