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BLUE RIDGE MEDICAL MANAGEMENT CORPORATION NPI 1073555934


NPI Information

NPI: 1073555934
Provider Name: BLUE RIDGE MEDICAL MANAGEMENT CORPORATION

Doing Business As: MSMG NEUROSURG JC

Classification: Neurological Surgery - 207T00000X
Entity Type: Organization
Address:
408 N STATE OF FRANKLIN RD
SUITE 42
JOHNSON CITY, TN
ZIP 37604
Phone: (423) 431-2350
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BLUE RIDGE MEDICAL MANAGEMENT CORPORATION is a neurological surgery in Johnson City, TN. The provider is a neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. BLUE RIDGE MEDICAL MANAGEMENT CORPORATION NPI is 1073555934. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Msmg Neurosurg Jc.

The provider's business location address is:

408 N STATE OF FRANKLIN RD
SUITE 42
JOHNSON CITY, TN
ZIP 37604-089
Phone: (423) 431-2350
Fax: (423) 431-2372

The provider's authorized official is Carl Steven 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 6/12/2006 and was last updated on 4/4/2012.


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
1207T00000XNeurological SurgeryYes

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
13377139MEDICAIDTENNESSEE
23709285MEDICARE UPINTENNESSEE

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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