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BLUE RIDGE MEDICAL MANAGEMENT CORPORATION NPI 1073950499


NPI Information

NPI: 1073950499
Provider Name: BLUE RIDGE MEDICAL MANAGEMENT CORPORATION

Doing Business As: MSMG HOSP ORTHO JMH

Classification: Orthopaedic Surgery - 207XX0801X
Entity Type: Organization

Specialization: Orthopaedic Trauma

Address:
16000 JOHNSTON MEMORIAL DR
SUITE 100 A
ABINGDON, VA
ZIP 24211
Phone: (276) 258-1790
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BLUE RIDGE MEDICAL MANAGEMENT CORPORATION is an orthopaedic trauma orthopaedic surgery in Abingdon, VA. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic trauma surgeons deal with the evaluation and management of acute orthopaedic injuries, evaluation and treatment of post-traumatic deformities and nonunions, acute and delayed reconstruction of pelvic and acetabular fractures, as well as osteotomy in the adult hip for treatment of hip arthritis. BLUE RIDGE MEDICAL MANAGEMENT CORPORATION NPI is 1073950499. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Msmg Hosp Ortho Jmh.

The provider's business location address is:

16000 JOHNSTON MEMORIAL DR
SUITE 100 A
ABINGDON, VA
ZIP 24211-659
Phone: (276) 258-1790
Fax: (276) 258-1765

The provider's authorized official is Carl Stephen Kilgore .
The authorized official title is President and has the following contact phone number (423) 915-5116.

The enumeration date for this NPI number is 5/24/2013 and was last updated on 4/9/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207XX0801XOrthopaedic SurgeryOrthopaedic TraumaYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1C09112MEDICARE PINVIRGINIA
2Q003480MEDICAIDTENNESSEE
31073950499MEDICAIDVIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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