Provider Type Icon

BLUE RIDGE MEDICAL MANAGEMENT CORPORATION NPI 1962506691


NPI Information

NPI: 1962506691
Provider Name: BLUE RIDGE MEDICAL MANAGEMENT CORPORATION

Doing Business As: DBA MOUNTAIN EMPIRE MEDICAL & SURGICAL ASSOCIATES

Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
1503 W ELK AVE
SUITE 8
ELIZABETHTON, TN
ZIP 37643
Phone: (423) 542-0400
Get Directions

BLUE RIDGE MEDICAL MANAGEMENT CORPORATION is an internal medicine in Elizabethton, TN. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. BLUE RIDGE MEDICAL MANAGEMENT CORPORATION NPI is 1962506691. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Dba Mountain Empire Medical & Surgical Associates.

The provider's business location address is:

1503 W ELK AVE
SUITE 8
ELIZABETHTON, TN
ZIP 37643-876
Phone: (423) 542-0400
Fax: (423) 542-0201

The provider's authorized official is C Steven Kilgore .
The authorized official title is Senior Vice President and has the following contact phone number (423) 915-5185.

The enumeration date for this NPI number is 9/12/2006 and was last updated on 8/22/2020.


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
1207R00000XInternal MedicineYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.