BLUE RIDGE PULMONARY MEDICINE, PC
NPI 1487601019
Internal Medicine - Pulmonary Disease in Cleveland, TN

NPI Status: Active since May 28, 2006

Contact Information

110 DUNHILL PL NW
CLEVELAND, TN
ZIP 37311
Phone: (423) 476-2212
Fax: (423) 476-7022

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  • Organization
  • Internal Medicine
  • Pulmonary Disease
  • Accepts Insurance

About BLUE RIDGE PULMONARY MEDICINE, PC

This page provides the complete NPI Profile along with additional information for Blue Ridge Pulmonary Medicine, Pc, an internist established in Cleveland, Tennessee operating as a Internal Medicine, focusing in pulmonary disease . The healthcare provider is registered in the NPI registry with number 1487601019 assigned on May 2006. The practitioner's primary taxonomy code is 207RP1001X. The provider is registered as an organization and their NPI record was last updated 16 years ago. Blue Ridge Pulmonary Medicine, Pc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is John S. Jaggers Iii (President)

NPI
1487601019
Provider Name
BLUE RIDGE PULMONARY MEDICINE, PC
Entity Type
Organization
Location Address
110 DUNHILL PL NW CLEVELAND, TN 37311
Location Phone
(423) 476-2212
Location Fax
(423) 476-7022
Mailing Address
110 DUNHILL PL NW CLEVELAND, TN 37311
Mailing Phone
(423) 476-2212
Mailing Fax
(423) 476-7022
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-28-2006
Last Update Date
06-01-2009
Code Navigator

An internist like Blue Ridge Pulmonary Medicine, Pc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine Pulmonary Disease

Taxonomy Code
207RP1001X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • SoloCare Bronze EPO HDHP 8050 10004 - EPO
  • SoloCare Exp Bronze EPO 7200 - $0 Generic Rx 10015 - EPO
  • SoloCare Gold EPO 2300 - 3 Free PCP Visits, $5 Generic Rx 10010 - EPO
  • SoloCare Silver EPO 6000/60 - 3 Free PCP Visits 10014 - EPO
  • SoloCare Silver EPO 7000 - 3 Free PCP Visits, $5 Generic Rx 10013 - EPO
  • SoloCare Standard Exp Bronze EPO 10008 - EPO
  • SoloCare Standard Gold EPO 10006 - EPO
  • SoloCare Standard Platinum EPO 10005 - EPO
  • SoloCare Standard Silver EPO 10007 - EPO
  • Choice Bronze HSA (QualChoice) - POS
  • Complete Gold - PPO
  • Complete Gold + Vision + Adult Dental - PPO
  • Complete Silver (QualChoice) - POS
  • Connected Silver - PPO
  • Connected Silver (QualChoice) - POS
  • Connected Silver (QualChoiceLife) - PPO
  • Connected Silver + Vision + Adult Dental - PPO
  • Elite Bronze - PPO
  • Elite Bronze + Vision + Adult Dental - PPO
  • Elite Gold (QualChoice) - POS
  • Elite Gold (QualChoiceLife) - PPO
  • Everyday Bronze - PPO
  • Everyday Bronze + Vision + Adult Dental - PPO
  • Everyday Gold - PPO
  • Everyday Gold + Vision + Adult Dental - PPO
  • Everyday Silver (QualChoiceLife) - PPO
  • Focused Silver - PPO
  • Focused Silver + Vision + Adult Dental - PPO
  • Standard Expanded Bronze - PPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Complete Silver - EPO
  • Complete Silver + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Premier Silver - EPO
  • Premier Silver + Vision + Adult Dental - EPO
  • Standard Expanded Bronze - EPO
  • Standard Expanded Bronze + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Standard Silver - EPO
  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Elite Silver - EPO
  • Elite Silver + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Standard Expanded Bronze - EPO
  • Standard Expanded Bronze + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Standard Silver - EPO
  • Clear Silver with $0 Insulin Options - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Gold with Atrium Health - HMO
  • Complete Gold with Atrium Health + Vision + Adult Dental - HMO
  • Complete Silver with Atrium Health - HMO
  • Complete Silver with Atrium Health + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Bronze with Atrium Health - HMO
  • Elite Bronze with Atrium Health + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Bronze with Atrium Health - HMO
  • Everyday Bronze with Atrium Health + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Focused Silver with Atrium Health - HMO
  • Focused Silver with Atrium Health + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Clear Silver - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Standard Expanded Bronze - EPO
  • Standard Expanded Bronze + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Standard Silver - EPO
  • Standard Silver + Vision + Adult Dental - EPO
  • BlueCross B07S HSA - EPO
  • BlueCross B15S $0 virtual care from Teladoc Health � - EPO
  • BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health � - EPO
  • BlueCross B17S $0 virtual care from Teladoc Health � + Adult Dental - EPO
  • BlueCross G06S $35 PCP Copay + $0 virtual care from Teladoc Health � - EPO
  • BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health � - EPO
  • BlueCross S25S $55 PCP Copay + $0 virtual care from Teladoc Health � - EPO
  • BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health � - EPO
  • BlueCross S27S $60 PCP Copay + $0 virtual care from Teladoc Health � - EPO
  • BlueCross S29S $60 PCP Copay + $0 virtual care from Teladoc Health � + Adult Dental - EPO
  • Standard Expanded Bronze WellCare - PPO
  • Standard Gold WellCare - PPO
  • Standard Silver WellCare - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JOHN S. JAGGERS III

Authorized Official Title
PRESIDENT
Authorized Official Phone
(423) 476-2212

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
3702756MEDICAID (05)TN 
3702756MEDICARE ID-TYPE UNSPECIFIED (04)TNGROUP BILLING NUMBER
=========OTHER (01)TNBLUE RDG PUL MED TX ID

Reviews for BLUE RIDGE PULMONARY MEDICINE, PC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1487601019
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
24167120202
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 6 + 7 + 1 + 2 + 0 + 2 + 0 + 2 + 24 = 51
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 51 = 99

The NPI number 1487601019 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 9 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1528083151DR. GEORGE A. SAMUEL D.O.
Individual
Internal Medicine (Gastroenterology)110 DUNHILL PL NW SUITE B
CLEVELAND, TN 37311
(423) 339-2000
1568403178 JOHN S. JAGGERS III M.D.
Individual
Internal Medicine (Pulmonary Disease)110 DUNHILL PL NW
CLEVELAND, TN 37311
(423) 476-2212
1508301086J & L ENTERPRISES, LLC
Organization
Nurse Practitioner110 DUNHILL PL NW SUITE B
CLEVELAND, TN 37311
(423) 790-7792
1831730332MRS. CINDY LYNN COCHRAN CCSH,RPSGT,RST
Individual
Specialist/Technologist, Other110 DUNHILL PL NW
CLEVELAND, TN 37311
(423) 476-2212
1891801296BLUE RIDGE GASTROENTEROLOGY, PC
Organization
Internal Medicine (Gastroenterology)110 DUNHILL PL NW
CLEVELAND, TN 37311
(423) 614-4000
1508156696DR. ETHAN BRANDON RUTLEDGE D.O.
Individual
Internal Medicine (Pulmonary Disease)110 DUNHILL PL NW
CLEVELAND, TN 37311
(423) 476-2212
1043266752 AHMAD MACHHOUR IBRAHIMBACHA M,D.
Individual
Internal Medicine (Pulmonary Disease)110 DUNHILL PL NW
CLEVELAND, TN 37311
(423) 476-2212
1043917297MRS. JACLYN NICOLE BOTTERBUSH APRN, FNP-BC
Individual
Nurse Practitioner (Family)110 DUNHILL PL NW
CLEVELAND, TN 37311
(423) 476-2212
1659311231 ROBERT F. MARCUM M.D.
Individual
Internal Medicine (Pulmonary Disease)110 DUNHILL PL NW
CLEVELAND, TN 37311
(423) 476-2212

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1487601019, enumerated in the NPI registry as an "organization" on May 28, 2006

The provider is located at 110 Dunhill Pl Nw Cleveland, Tn 37311 and the phone number is (423) 476-2212

This medical organization specializes in Internal Medicine with taxonomy code 207RP1001X with a focus in Pulmonary Disease

The provider might be accepting Accepts: Alliant Health Plans, Inc., Ambetter from Arkansas. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on May 28, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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