Appalachian Emergency Physicians

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

APPALACHIAN EMERGENCY PHYSICIANS

Practice address

58 Carroll Street
Lebanon, VA 24266-0001

Phone

(276) 883-8000

Fax

(276) 883-8101

NPI assigned

Oct 5, 2010

Last updated

Feb 22, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Carl S Kilgore

Title

President of Blue Ridge Medical MGT

Phone

(866) 916-5259

Specialties & licenses 1

Addresses

Other identifiers 2

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1286236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298332800000",
    "number": "1750690087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 534964",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303534950",
            "telephone_number": "866-916-5259",
            "fax_number": "231-922-4030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 CARROLL STREET",
            "city": "LEBANON",
            "state": "VA",
            "postal_code": "242660001",
            "telephone_number": "276-883-8000",
            "fax_number": "276-883-8101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPALACHIAN EMERGENCY PHYSICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-05",
        "last_updated": "2011-02-22",
        "status": "A",
        "authorized_official_last_name": "KILGORE",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT OF BLUE RIDGE MEDICAL MGT",
        "authorized_official_telephone_number": "866-916-5259"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1750690087",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100142690",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abingdon Physician Partners
• Access Intensive Counseling LLC
• Advanced Practice Primary Care, PLLC
• Appalachian Center for Obesity Surgery
• ASC of Lebanon, LLC (Maple Grove Nursing & Rehab)
• Donna Austin
• B & B Pharmacies Inc (McFarlane Hillman Pharmacy)
• Dwight Lawrence Bailey, M.D.
• Elizabeth Altizer Baker, M.ED. CCC-SLP

• Emergency Medicine Physician in Lebanon, VA
• Providers in Lebanon, VA by specialty
• Emergency Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.