Blue Ridge Medical Management Corporation
NPI 1144458332ActiveOrganization· Thoracic Surgery (Cardiothoracic Vascular Surgery)· Kingsport, TN
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Kingsport, Tennessee, registered in NPPES in June 2009. The authorized official on file is Carl Steven Kilgore, President.
Overview
| NPI | 1144458332 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 25, 2009 |
| Last updated in NPPES | Oct 27, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Primary | 208G00000X | — | — |
| Physician Assistant | 363A00000X | — | — |
| Physician Assistant, Surgical | 363AS0400X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other cardiothoracic surgeons in Kingsport
- 1154749927
- 1982633467
- 1326314808
- 1740643899
- 1710942545
- 1023358793