BALLAD HEALTH MEDICAL ASSOCIATES
NPI 1043739881
Surgery - Vascular Surgery in Johnson City, TN

Q: What is Blue Ridge Medical Mangement Corporation's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Active since September 13, 2017

2 PROFESSIONAL PARK DR STE 11, JOHNSON CITY, TN 37604(423) 434-7400(423) 434-7401 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jul 21, 2022, Sep 13, 2017 (2 updates tracked since 2017).

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About Ballad Health Medical Associates NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BALLAD HEALTH MEDICAL ASSOCIATES (NPI 1043739881) is a healthcare organization registered as a vascular surgery in Johnson City, Tennessee and active in the NPI registry since September 2017. The organization lists Carl S. Kilgore, President, as its authorized official.

NPPES Registry Identity

NPI1043739881

Entity TypeOrganization

Primary Taxonomy2086S0129X

Legal Business NameBLUE RIDGE MEDICAL MANGEMENT CORPORATION

Location Address2 PROFESSIONAL PARK DR STE 11Johnson City, TN 37604-6584

Mailing Address2 Professional Park Dr Ste 11Johnson City, TN 37604-6584 · (423) 434-7400 · Fax (423) 434-7401

Phone(423) 434-7400

Fax(423) 434-7401

Organization SubpartNo

Authorized OfficialCarl S. KilgorePresident · (423) 302-3051

Enumeration DateSeptember 13, 2017

Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration

✔ NPI 1043739881 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0129X

Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

2 PROFESSIONAL PARK DR STE 11, Johnson City, TN 37604

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Other Names 3

Doing Business AsBallad Health Medical Associates

Doing Business AsMsmg Vascular Surgery Jc

Other NameBhma Vascular Surgery Johnson City

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOHN PARIGGER

Student in an Organized Health Care Education/Training Program