NPIMap

Organization Active NPI

Westlake Regional Hospital Medical Group

  • Emergency Medicine Physician
  • Columbia, KY
National Provider Identifier
1225238512
Registry record updated Nov 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
100001 Issued in KY
Legal business name
WESTLAKE REGIONAL HOSPITAL MEDICAL GROUP
Practice address
901 Westlake Dr
Columbia, KY 42728-1123
Phone
(270) 384-4753
Fax
(270) 385-9123
NPI assigned
Jul 24, 2007
Last updated
Nov 6, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
ADAIR CO. HOSPITAL DISTRICTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 6, 2015

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

Authorized official

Name
Mr. Neal M. Gold
Title
Ceo
Phone
(270) 384-4753

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 100001 KY Primary
Diagnostic Radiology Physician 2085R0202X 100001 KY

Addresses

Primary practice location

901 Westlake Dr
Columbia, KY 42728-1123

Mailing address

901 Westlake Dr
PO Box 1269
Columbia, KY 42728-1123
Phone (270) 384-4753

Other identifiers 1

IdentifierTypeStateIssuer
65902322MedicaidKY

National Provider Directory

National Provider Directory
Tax ID family
Westlake Cumberland Hos13 organizations share this tax ID, including this one
Part of
Westlake Cumberland Hos

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446768000000",
    "number": "1225238512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 WESTLAKE DR",
            "address_2": "PO BOX 1269",
            "city": "COLUMBIA",
            "state": "KY",
            "postal_code": "427281123",
            "telephone_number": "270-384-4753",
            "fax_number": "270-385-9123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 WESTLAKE DR",
            "city": "COLUMBIA",
            "state": "KY",
            "postal_code": "427281123",
            "telephone_number": "270-384-4753",
            "fax_number": "270-385-9123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTLAKE REGIONAL HOSPITAL MEDICAL GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADAIR CO. HOSPITAL DISTRICT",
        "enumeration_date": "2007-07-24",
        "last_updated": "2015-11-06",
        "status": "A",
        "authorized_official_last_name": "GOLD",
        "authorized_official_first_name": "NEAL",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "270-384-4753",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "100001",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KY",
            "license": "100001",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65902322",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2015; 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.