Blue Ridge Medical Management Corporation
Pediatric Gastroenterology
Blue Ridge Medical Management Corporation is a Johnson City, Tennessee based Pediatric center with medical specialization in
Pediatric Gastroenterology. Blue Ridge Medical Management Corporation is doing business as
Ballad Health Medical Associates.
It is located at
408 N State Of Franklin Rd, Suite 31e, Johnson City, Tennessee - 37604-6089. They can be contacted on phone at
423-431-4946 and fax number 423-431-4947.
NPI number (Unique professional ID) for Blue Ridge Medical Management Corporation is
1619349578 which was assigned by NPPES on 30 Oct, 2015 and it was last updated on 29 Mar, 2019.
Blue Ridge Medical Management Corporation specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
Complete Profile:
Blue Ridge Medical Management Corporation basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Gastroenterology |
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| Provider Name : | Blue Ridge Medical Management Corporation |
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| Other Name : | Ballad Health Medical Associates |
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Business Address:
Blue Ridge Medical Management Corporation address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 408 N State Of Franklin Rd, Suite 31e
Johnson City, TN, 37604-6089
United States |
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| Phone Number : | 423-431-4946 |
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| Fax Number : | 423-431-4947 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1619349578 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 30 Oct, 2015 |
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| Last Updated On : | 29 Mar, 2019 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Carlsteven Kilgore |
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| Official Title or Position : | PRESIDENT |
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| Phone Number : | 423-302-3051 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Blue Ridge Medical Management Corporation are as mentioned. Primary taxonomy code for Blue Ridge Medical Management Corporation is
2080P0206X (Pediatrics Pediatric Gastroenterology).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 363LF0000X | Nurse Practitioner Family | No | | |
| 2080P0206X | Pediatrics Pediatric Gastroenterology | Yes | | |
Legacy Identifiers:
Other legacy medical identifiers of Blue Ridge Medical Management Corporation such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| Q020024 | MEDICAID | TN | |
| 1619349578 | MEDICAID | VA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 408 N State Of Franklin Rd, Suite 31e
Johnson City, TN, 37604-6089
United States |
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| Phone Number : | 423-431-4946 |
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| Fax Number : | 423-431-4947 |
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Business Location:
Patients can refer following map for directions to
Blue Ridge Medical Management Corporation practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.