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REGIONAL CANCER CENTER AT IPMC A
NPI 1346686763
Specialist in Kingsport, TN

Active since May 13, 2013
2002 BROOKSIDE DR, SUITE 300A, KINGSPORT, TN 37660(423) 232-6900(423) 232-6903 Get Directions Write a Review

NPPES record last updated: February 14, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Regional Cancer Center At Ipmc A NPPES

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

REGIONAL CANCER CENTER AT IPMC A (NPI 1346686763) is a healthcare organization registered as a specialist in Kingsport, Tennessee and active in the NPI registry since May 2013. The organization lists Carl Steven Kilgore, President, as its authorized official.

NPPES Registry Identity

NPI1346686763
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameBLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Location Address2002 BROOKSIDE DR, SUITE 300AKingsport, TN 37660-4634
Mailing Address2002 Brookside Dr, Suite 300aKingsport, TN 37660-4634 · (423) 232-6900 · Fax (423) 232-6903
Phone(423) 232-6900
Fax(423) 232-6903
Organization SubpartNo
Authorized OfficialCarl Steven KilgorePresident · (423) 915-5116
Enumeration DateMay 13, 2013
Last NPPES UpdateFebruary 14, 2017
✔ NPI 1346686763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2002 BROOKSIDE DR, Kingsport, TN 37660
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Other Names 1

Doing Business AsRegional Cancer Center At Ipmc A

Other Identifiers 1

Medicaid1516423TN

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 20

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

MRS. MICHELLE R ESTES MD
Pediatrics
2002 BROOKSIDE DR, SUITE 200
KINGSPORT, TN 37660
Sullivan County (423) 224-3933
MRS. SUSAN WATTS JEANSONNE MD
Pediatrics
2002 BROOKSIDE DR, SUITE 200
KINGSPORT, TN 37660
Sullivan County (423) 224-3933
DR. STEVEN C BUTLER M.D.
Internal Medicine (Nephrology)
2002 BROOKSIDE DR, SUITE 102
KINGSPORT, TN 37660
Sullivan County (423) 245-6000
DR. SHELDON H FISHER DO
Obstetrics & Gynecology
2002 BROOKSIDE DR, STE 300
KINGSPORT, TN 37660
Sullivan County (423) 392-6370
MRS. CINDY SUE BUTLER N.P.
Nurse Practitioner
2002 BROOKSIDE DR, SUITE102
KINGSPORT, TN 37660
Sullivan County (423) 245-6000
DR. ABRAR AHMAD M.D.
Internal Medicine (Nephrology)
2002 BROOKSIDE DR, SUITE 102
KINGSPORT, TN 37660
Sullivan County (423) 245-6000
JACK R CROWDER M.D.
Obstetrics & Gynecology
2002 BROOKSIDE DR, SUITE 300
KINGSPORT, TN 37660
Sullivan County (423) 392-6370
DR. NATASHA BENFIELD GOUGE PHD
Psychologist (Clinical)
2002 BROOKSIDE DR, SUITE 200
KINGSPORT, TN 37660
Sullivan County (423) 224-3933

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blue Ridge Medical Management Corporation's NPI number?

The NPI number for Blue Ridge Medical Management Corporation is 1346686763. It was assigned to this organization in the NPPES registry on May 13, 2013. The provider is doing business as Regional Cancer Center At Ipmc A.

Where is Blue Ridge Medical Management Corporation located?

Blue Ridge Medical Management Corporation is located at 2002 Brookside Dr Suite 300A, Kingsport, TN 37660. The listed phone number is (423) 232-6900.

What is Blue Ridge Medical Management Corporation's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Blue Ridge Medical Management Corporation was last updated on February 14, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.