Blue Ridge Medical Management Corporation, NPI 1275851974
Internal Medicine 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 | 1275851974 |
| 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 | 300 Med Tech Pkwy, Johnson City, TN, US |
| Provider Mailing Address | 509 Med Tech Pkwy, Suite 100, Johnson City, TN, US, 376042578 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | MR. Carl Steven Kilgore |
| Official Position | PRESIDENT |
| Phone | 423-915-5100 |
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 | Internal Medicine Physician |
| Classification | |
| Group | |
| Description | A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| No | |||||
| No | |||||
| No | |||||
| No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 4344805 | TN | BLUECARE | 01 |
| 1520040 | TN | MEDICAID | 05 |
| 1275851974 | VA | MEDICAID | 05 |
| 7100118880 | KY | MEDICAID | 05 |
| 7100161370 | KY | MEDICAID | 05 |
| CA5744 | TN | RR MEDICARE | 01 |
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