BLUE RIDGE MEDICAL MANAGEMENT CORPORATION NPI 1962434068

NPI Information

NPI: 1962434068
Provider Name: BLUE RIDGE MEDICAL MANAGEMENT CORPORATION

Doing Business As: CARDIOLOGY CONSULTANTS OF JOHNSON CITY

Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
311 PRINCETON RD
SUITE 7
JOHNSON CITY, TN
ZIP 37601
Phone: (423) 282-3236
Get Directions

BLUE RIDGE MEDICAL MANAGEMENT CORPORATION is a cardiovascular disease internal medicine in Johnson City, TN. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. BLUE RIDGE MEDICAL MANAGEMENT CORPORATION NPI is 1962434068. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Cardiology Consultants Of Johnson City.

The provider's business location address is:

311 PRINCETON RD
SUITE 7
JOHNSON CITY, TN
ZIP 37601-026
Phone: (423) 282-3236
Fax: (423) 283-4746

The provider's authorized official is Carl S Kilgore .
The authorized official title is President and has the following contact phone number (423) 915-5100.

The enumeration date for this NPI number is 7/7/2006 and was last updated on 2/14/2013.

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
1	207RC0000X	Internal Medicine	Cardiovascular Disease			Yes
2	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	CD7031	OTHER		RAIL ROAD MEDICARE
2	890117J	MEDICAID	NORTH CAROLINA
3	3709285	MEDICARE PIN	TENNESSEE
4	02571	OTHER	NORTH CAROLINA	BLUE CROSS OF NC
5	3702646	MEDICAID	TENNESSEE
6	3702646	MEDICARE ID-TYPE UNSPECIFIED	TENNESSEE

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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