Western Baptist Medical Ventures Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

WESTERN BAPTIST MEDICAL VENTURES INC

Practice address

2601 Kentucky Ave
Suite 103
Paducah, KY 42003-3817

Phone

(270) 443-4311

Fax

(270) 443-4145

NPI assigned

Aug 16, 2012

Organization subpart

Yes

Parent organization

WESTERN BAPTIST MEDICAL VENTURES INCAs reported in NPPES

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

Authorized official

Name

Patricia Harrod

Title

Director of Physician Integration

Phone

(270) 575-8362

Specialties & licenses 4

Addresses

Other names 1

• BAPTIST HEALTH PRIME CARE CENTER Doing business as

Part of

Western Baptist Medical Ventures Inc

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Western Baptist Medical Ventures, Inc

  • Neurological Surgery Physician
  • Paducah, KY
  • NPI 1073703054
  NPPES parent name

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

{
    "created_epoch": "1345075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350000000000",
    "number": "1093063406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7309",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420027309",
            "telephone_number": "270-744-9600",
            "fax_number": "270-744-0834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 KENTUCKY AVE",
            "address_2": "SUITE 103",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420033817",
            "telephone_number": "270-443-4311",
            "fax_number": "270-443-4145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN BAPTIST MEDICAL VENTURES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WESTERN BAPTIST MEDICAL VENTURES INC",
        "enumeration_date": "2012-08-16",
        "last_updated": "2012-10-12",
        "status": "A",
        "authorized_official_last_name": "HARROD",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "DIRECTOR OF PHYSICIAN INTEGRATION",
        "authorized_official_telephone_number": "270-575-8362"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "KY",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "KY",
            "license": null,
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "KY",
            "license": "PA588",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BAPTIST HEALTH PRIME CARE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jaclyn West, REGISTERED DIETITION
• John Brittain West
• Lena Kathryn West, RN, CDCES, MLDE
• Tommy G West, DPT
• La'Vetta Marie Westbrook
• Western Baptist Medical Ventures Inc
• Western Baptist Medical Ventures Inc
• Western Baptist Medical Ventures, Inc
• Western Baptist Medical Ventures, Inc
• Western Baptist Medical Ventures, Inc

• Primary Care Clinic/Center in Paducah, KY
• Providers in Paducah, KY by specialty
• Primary Care Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2012; 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.