NPIMap

Organization Active NPI

Western Baptist Medical Ventures, Inc

  • Neurology Physician
  • Paducah, KY
National Provider Identifier
1568699478
Registry record updated Sep 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
44538 Issued in KY
Legal business name
WESTERN BAPTIST MEDICAL VENTURES, INC
Practice address
2603 Kentucky Ave
Suite 304
Paducah, KY 42003-3814
Phone
(270) 415-4800
Fax
(270) 415-4801
NPI assigned
Jun 18, 2009
Organization subpart
Yes
Parent organization
WESTERN BAPTIST MEDICAL VENTURES, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 23, 2014

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

Authorized official

Name
Jennifer A Townsend
Title
Regional Executive Dir of Operation
Phone
(270) 415-7646

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X 44538 KY Primary
Adult Health Clinical Nurse SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 364SA2200X 3006220 KY

Addresses

Primary practice location

2603 Kentucky Ave
Suite 304
Paducah, KY 42003-3814

Mailing address

PO Box 7309
Paducah, KY 42002-7309
Phone (270) 744-9600

Other names 1

  • Neurology Specialists Doing business as

National Provider Directory

National Provider Directory
Part of
Western Baptist Medical Ventures Inc

Ownership & related parties

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.

NPI Registry JSON

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

{
    "created_epoch": "1245283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411430400000",
    "number": "1568699478",
    "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": "2603 KENTUCKY AVE",
            "address_2": "SUITE 304",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420033814",
            "telephone_number": "270-415-4800",
            "fax_number": "270-415-4801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN BAPTIST MEDICAL VENTURES, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WESTERN BAPTIST MEDICAL VENTURES, INC",
        "enumeration_date": "2009-06-18",
        "last_updated": "2014-09-23",
        "status": "A",
        "authorized_official_last_name": "TOWNSEND",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "REGIONAL EXECUTIVE DIR OF OPERATION",
        "authorized_official_telephone_number": "270-415-7646"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "KY",
            "license": "44538",
            "primary": true
        },
        {
            "code": "364SA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "KY",
            "license": "3006220",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neurology Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Paducah, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2014; 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.