Blue Ridge Medical Management Corporation

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

BLUE RIDGE MEDICAL MANAGEMENT CORPORATION

Doing business as

MSMG Uro Rurl

Practice address

7021 West Lee Highway
Suite B
Rural Retreat, VA 24368

Phone

(276) 783-5400

Fax

(276) 783-5521

NPI assigned

Feb 9, 2012

Last updated

Feb 14, 2017By 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 Steven Kilgore

Title

President

Phone

(423) 915-5116

Specialties & licenses 2

Addresses

Other names 1

• MSMG URO RURL Doing business as

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Furhan Rashid Qureshi, MD

  • Internal Medicine Physician
  • Sterling, VA
  • NPI 1306194667
  NPD
• Ralph Edward Fig Jr., NP

  • Family Nurse Practitioner
  • Bristol, TN
  • NPI 1356750731
  NPD
• Michael Paul Skeen, NP-C

  • Family Nurse Practitioner
  • Johnson City, TN
  • NPI 1891122321
  NPD

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

{
    "created_epoch": "1328745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487030400000",
    "number": "1811269640",
    "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": "276-783-5400",
            "fax_number": "276-783-5521"
        },
        {
            "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": "276-783-5400",
            "fax_number": "276-783-5521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE RIDGE MEDICAL MANAGEMENT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-09",
        "last_updated": "2017-02-14",
        "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"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024166068",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MSMG URO RURL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Blue Ridge Family Medicine
• Blue Ridge Medical Management Corporation (Ballad Health Medical Associates)
• Blue Ridge Medical Management Corporation (MSMG OB GYN Rurl)
• Blue Ridge Medical Management Corporation (MSMG Cardiology Rural Retreat)
• Blue Ridge Medical Management Corporation (MSMG Ortho Rurl)
• Blue Ridge Medical Management Corporation (MSMG ENT Rurl)
• Lily Mae Boyd, DC
• Julie Lynn Coulsey, MA
• Cplace Rural Retreat SNF, LLC (Carrington Place of Rural Retreat)
• Miranda Paige Davidson

• Urology Physician in Rural Retreat, VA
• Providers in Rural Retreat, VA by specialty
• Urology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.