BALLAD HEALTH MEDICAL ASSOCIATES – NPI #1093016024
Surgery

Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency.

BALLAD HEALTH MEDICAL ASSOCIATES is a surgeon located in JOHNSON CITY, TN. NPPES has assigned the NPI number 1093016024 to BALLAD HEALTH MEDICAL ASSOCIATES on November 08, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “BALLAD HEALTH MEDICAL ASSOCIATES” is a dba name, the actual legal business name for this organization is BLUE RIDGE MEDICAL MANAGEMENT CORPORATION. The NPI data also shows multiple names associated with this provider such as BALLAD HEALTH MEDICAL ASSOCIATES and 2 other listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2086S0127X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Trauma Surgery Please note, simply having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was previously updated about 7 years ago on Mar 28, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BALLAD HEALTH MEDICAL ASSOCIATES below.

NPI Profile for
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION

NPI Number
1093016024
Enumeration Date

(more than 15 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Doing Business As (dba): BALLAD HEALTH MEDICAL ASSOCIATES
Other name(s)
All associated names:
Doing Business As (dba)
BALLAD HEALTH MEDICAL ASSOCIATES
Other Name
BHMA Trauma Services Johnson City
Doing Business As (dba)
MSMG Trauma JC
Primary location
410 N STATE OF FRANKLIN RD
SUITE 130
JOHNSON CITY, TN 37604-6971
Phone: (423) 431-2477 Fax: (423) 431-2478
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
CARL KILGORE
PRESIDENT/CEO
Phone: (423) 302-3051
Updated
Identifiers

Identifiers for BALLAD HEALTH MEDICAL ASSOCIATES

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
OTHERDEPARTMENT OF LABORTN020487825
OTHERRAIL ROAD MEDICARETNCA5744
MEDICAIDKY7100163800
MEDICAIDKY7100203970
MEDICAIDNC5917230
MEDICAIDTN1522339
MEDICAIDVA1093016024
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.