Organization Active NPI

Blue Ridge Medical Management Corporation

Doing business as MSMG Ortho Rurl

  • Orthopaedic Surgery Physician
  • Rural Retreat, VA
National Provider Identifier
1750725024
Registry record updated Apr 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Doing business as
MSMG Ortho Rurl
Practice address
7021 West Lee Highway
Suite B
Rural Retreat, VA 24368
Phone
(276) 783-9752
Fax
(276) 783-9752
NPI assigned
Apr 17, 2013
Last updated
Apr 17, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2013

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

Authorized official

Name
Mr. Carl Steven Kilgore
Title
President
Phone
(423) 915-5116

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

7021 West Lee Highway
Suite B
Rural Retreat, VA 24368

Mailing address

7021 West Lee Highway
Suite B
Rural Retreat, VA 24368
Phone (276) 783-9752

Other names 1

  • MSMG ORTHO RURL Doing business as

National Provider Directory

National Provider Directory
Tax ID family
MSMG FP Im KPT70 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 17

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1366156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366156800000",
    "number": "1750725024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7021 WEST LEE HIGHWAY",
            "address_2": "SUITE B",
            "city": "RURAL RETREAT",
            "state": "VA",
            "postal_code": "24368",
            "telephone_number": "276-783-9752",
            "fax_number": "276-783-9752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7021 WEST LEE HIGHWAY",
            "address_2": "SUITE B",
            "city": "RURAL RETREAT",
            "state": "VA",
            "postal_code": "24368",
            "telephone_number": "276-783-9752",
            "fax_number": "276-783-9752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE RIDGE MEDICAL MANAGEMENT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-17",
        "last_updated": "2013-04-17",
        "status": "A",
        "authorized_official_last_name": "KILGORE",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-915-5116",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MSMG ORTHO RURL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rural Retreat, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2013; 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.