Organization
BLUE RIDGE MEDICAL MANAGEMENT
Active
Organization
BLUE RIDGE MEDICAL MANAGEMENT
Active
Other names
MSMG VAS SURG NOR
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARL STEPHEN KILGORE (PRESIDENT/CEO)
(423) 915-5116
Entity
Organization
Contact information
Practice address
98 15TH ST NW, SUITE 201B, NORTON, VA 24273-1600
(276) 439-1490
(276) 439-1495
Mailing address
98 15TH ST NW, SUITE 201B, NORTON, VA 24273-1600
(276) 439-1490
(276) 439-1495
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
0101254593
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
622968500
DEPARTMENT OF LABOR
VA
01
—
DF7910
RAILROAD MEDICARE
VA
Enumeration date
11/24/2014
Last updated
02/14/2017
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up