Active NPI
Western Kentucky Gastroenterology, LLC
- Gastroenterology Physician
- Bowling Green, KY
National Provider Identifier
1295777084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- Legal business name
- WESTERN KENTUCKY GASTROENTEROLOGY, LLC
- Practice address
- 996 Wilkinson Trce
Suite a-10
Bowling Green, KY 42103-3407 - Phone
- (270) 393-9829
- Fax
- (270) 393-9830
- NPI assigned
- Jun 13, 2006
- Organization subpart
- Yes
- Parent organization
- HOSPITAL CORP., LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Chuck Locke
- Title
- VP
- Phone
- (615) 373-7604
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | Primary |
Addresses
Primary practice location
996 Wilkinson Trce
Suite a-10
Bowling Green, KY 42103-3407
Mailing address
996 Wilkinson Trce
Suite a-10
Bowling Green, KY 42103-3407
Phone (270) 393-9829
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 65944050 | Medicaid | KY |
National Provider Directory
National Provider DirectoryLocations
996 Wilkinson Trce
Ste A10
Bowling Green, KY 42103
Phone (270) 393-9829
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Gastroenterology Physician
- Bowling Green, KY
- NPI 1609860501
-
- Nurse Practitioner
- Bowling Green, KY
- NPI 1114567047
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1188345600000",
"number": "1295777084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "996 WILKINSON TRCE",
"address_2": "SUITE A-10",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421033407",
"telephone_number": "270-393-9829",
"fax_number": "270-393-9830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "996 WILKINSON TRCE",
"address_2": "SUITE A-10",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421033407",
"telephone_number": "270-393-9829",
"fax_number": "270-393-9830"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WESTERN KENTUCKY GASTROENTEROLOGY, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "HOSPITAL CORP., LLC",
"enumeration_date": "2006-06-13",
"last_updated": "2007-08-29",
"status": "A",
"authorized_official_last_name": "LOCKE",
"authorized_official_first_name": "CHUCK",
"authorized_official_title_or_position": "VP",
"authorized_official_telephone_number": "615-373-7604"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "65944050",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bowling Green, KY
- Kathleen West, PT
- Michael Ray West Jr., MD
- Reginald Spencer West
- Western Kentucky Diagnostic Imaging, PSC
- Western Kentucky Gastroenterology Associates, LLC
- Western Kentucky Heart & Lung Associates PSC
- Western Kentucky Medical Associates PSC
- Western Kentucky Orthopaedic & Neurosurgical Associates PLLC
- Western Kentucky Orthopaedic and Neurosurgical Associates
- Western Kentucky Orthopaedic and Neurosurgical Associates PLLC (ProRehab of Bowling Green)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.