Blue Ridge Medical Management Corporation, NPI 1356472880
Critical Care Medicine (Internal Medicine) Physician in Johnson City, TN, US

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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 1356472880
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 400 N State Of Franklin Rd, Room 2746, Johnson City, TN, US
Provider Mailing Address 400 N State Of Franklin Rd, Room 2746, Johnson City, TN, US, 376046035
Is Sole Proprietor? No
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Organization Official

Official Name Carl Steven Kilogore
Official Position PRESIDENT
Phone 423-302-3051

Group Taxonomy

Taxonomy Code 193400000X
Taxonomy Name 193400000X 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

207RC0200X

Taxonomy Name Critical Care Medicine (Internal Medicine) Physician
Classification

Internal Medicine

Group

Allopathic & Osteopathic Physicians

Description An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Other Organization Name

BHMA Critical Care Johnson City
Other Name

Business Address

Blue Ridge Medical Management Corporation
400 N State Of Franklin Rd
Room 2746

Johnson City, TN, US

Phone: 423-431-2727
Fax: 423-431-6715

Mailing Address

Blue Ridge Medical Management Corporation
400 N State Of Franklin Rd
Room 2746
Johnson City, TN, US
ZIP 376046035
Phone: 423-431-2727
Fax: 423-431-6715

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
7100013020 KY MEDICAID 05
CA5744 TN RAILROAD MEDICARE 01
020487815 TN DEPARTMENT OF LABOR 01
5908527 NC MEDICAID 05
1356472880 VA MEDICAID 05
1504269 TN MEDICAID 05

Other Providers in TN, US

NPI Name Taxonomy Address

1417615469

MRS. RN Emily Rae Johnson

Individual

Critical Care Medicine Registered Nurse

315 Hospital Dr

Madison, TN

1144944927

PHARMD Rebecca Brittany Clegg

Individual

Pharmacist

1430 S Roan St

Johnson City, TN

1538605498

Christopher Byrd

Individual

Pharmacist

4221 Maynardville Hwy

Maynardville, TN

1154882843

MD Shalacia Palmer Leblanc

Individual

Family Medicine Physician

3400 Lebanon Rd

Murfreesboro, TN

1306575014

DR. DNP, CRNA Mark Timothy Cresap

Individual

Certified Registered Nurse Anesthetist

7357 Lucky Clover Ln

Knoxville, TN

1366099269

Khumalo Foot And Ankle Clinic, Inc

Organization

Foot & Ankle Surgery Podiatrist

1109 E Reelfoot Ave Ste D

Union City, TN

1154053643

CCC-SLP Azjah Watson

Individual

Speech-Language Pathologist

70 Timber Creek Dr

Cordova, TN

1841915113

MS. DNP Ala'a Mitoubsi

Individual

Nurse Practitioner

1926 Alcoa Hwy

Knoxville, TN

1215652680

NEMT Olivia Williams

Individual

Non-emergency Medical Transport (VAN)

8097 Waterford Cir Apt 204

Memphis, TN

1306561774

Megan Nichole Trujillo

Individual

Behavior Technician

2740 Saint Andrews Dr

Murfreesboro, TN

1598727380

M.D. David D. Buckman

Individual

Family Medicine Physician

2320 Wilma Rudolph Blvd.

Clarksville, TN

1437874807

Ashley Myers

Individual

Registered Nurse

1211 Medical Center Dr

Nashville, TN

1477278844

Jessica Gomez

Individual

Behavior Technician

1727 N Germantown Pkwy Ste 107

Cordova, TN

1881736122

Park Center

Organization

Adult Mental Health Clinic/Center

1935 21st Ave S

Nashville, TN

1174056428

DR. M.D. Melissa Lynn Mckittrick

Individual

Pain Medicine (Anesthesiology) Physician

3400 Lebanon Rd

Murfreesboro, TN

1083339444

FNP-BC Misty Renee Nichols

Individual

Family Nurse Practitioner

2216 Rainbow Ln

New Market, TN

1376569210

MD Douglas Todd Cannon

Individual

Physical Medicine & Rehabilitation Physician

8000 Centerview Pkwy

Suite 500

Cordova, TN

1386369734

Dovamed Medical

Organization

Durable Medical Equipment & Medical Supplies

545 Mainstream Dr Ste 102

Nashville, TN

1487379830

Taylor Woods

Individual

Registered Nurse

6019 Walnut Grove Rd

Memphis, TN

1285909903

MRS. PA-C Brittany C Smith

Individual

Physician Assistant

1265 Union Ave

Memphis, TN

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