BLUE RIDGE MEDICAL MANAGEMENT CORPORATION NPI 1265813026

NPI Information

NPI: 1265813026
Provider Name: BLUE RIDGE MEDICAL MANAGEMENT CORPORATION

Doing Business As: BALLAD HEALTH MEDICAL ASSOCIATES

Classification: Internal Medicine - 207RP1001X
Entity Type: Organization

Specialization: Pulmonary Disease

Address:
16000 JOHNSTON MEMORIAL DR
SUITE 212B
ABINGDON, VA
ZIP 24211
Phone: (276) 258-1740
Get Directions

BLUE RIDGE MEDICAL MANAGEMENT CORPORATION is a pulmonary disease internal medicine in Abingdon, VA. The provider is 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. BLUE RIDGE MEDICAL MANAGEMENT CORPORATION NPI is 1265813026. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Ballad Health Medical Associates.

The provider's business location address is:

16000 JOHNSTON MEMORIAL DR
SUITE 212B
ABINGDON, VA
ZIP 24211-664
Phone: (276) 258-1740
Fax: (276) 258-1745

The provider's authorized official is Carl Steven Kilgore .
The authorized official title is President and has the following contact phone number (423) 302-3051.

The enumeration date for this NPI number is 6/17/2015 and was last updated on 3/29/2019.

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	Primary
1	207RC0200X	Internal Medicine	Critical Care Medicine	No
2	207RP1001X	Internal Medicine	Pulmonary Disease	Yes
3	363L00000X	Nurse Practitioner		No

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
1	622523600	OTHER	VIRGINIA	DEPARTMENT OF LABOR
2	Q013970	MEDICAID	TENNESSEE
3	1265813026	MEDICAID	VIRGINIA
4	DF7910	OTHER	VIRGINIA	RR MEDICARE

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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