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BLUE RIDGE MEDICAL MANAGEMENT CORPORATION NPI 1568726883


NPI Information

NPI: 1568726883
Provider Name: BLUE RIDGE MEDICAL MANAGEMENT CORPORATION

Doing Business As: BALLAD HEALTH MEDICAL ASSOCIATES

Classification: Anesthesiology - 207LP2900X
Entity Type: Organization

Specialization: Pain Medicine

Address:
601 CAMPUS DR
ABINGDON, VA
ZIP 24210
Phone: (276) 258-1670
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BLUE RIDGE MEDICAL MANAGEMENT CORPORATION is a pain medicine anesthesiology in Abingdon, VA. The provider is an anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. BLUE RIDGE MEDICAL MANAGEMENT CORPORATION NPI is 1568726883. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Ballad Health Medical Associates.

The provider's business location address is:

601 CAMPUS DR
ABINGDON, VA
ZIP 24210-700
Phone: (276) 258-1670
Fax: (276) 258-1672

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 7/2/2012 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 License Number License State Primary
1207LP2900XAnesthesiologyPain MedicineYes

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
11568726883MEDICAIDVIRGINIA
21531196MEDICAIDTENNESSEE
3020487838OTHERVIRGINIADEPARTMENT OF LABOR/ENERGY & FECA

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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