Blue Ridge Medical Management Corporation, NPI 1275761538
Medical Oncology Physician in Johnson City, TN, 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 | 1275761538 |
| 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 | 1 Professional Park Dr, Ste 21, Johnson City, TN, US |
| Provider Mailing Address | 1 Professional Park Dr, Ste 21, Johnson City, TN, US, 376046587 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | MR. Carl Steven Kilgore |
| Official Position | PRESIDENT/CEO |
| Phone | 423-302-3051 |
Group Taxonomy
| Taxonomy Code | 193400000X |
| Taxonomy Name | 193400000X MULTIPLE SINGLE SPECIALTY GROUP |
| Definition | A business group of one or more individual practitioners, all of who practice with the same area of specialization. |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Medical Oncology Physician |
| Classification | |
| Group | |
| Description | An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 1275761538 | VA | MEDICAID | 05 |
| CA5744 | TN | RAILROAD MEDICARE | 01 |
| 1516423 | TN | MEDICAID | 05 |
| 020487822 | TN | DEPARTMENT OF LABOR | 01 |
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