Westwood Medical Clinic, Inc.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

R8374 Issued in MO

Legal business name

WESTWOOD MEDICAL CLINIC, INC.

Practice address

1919 Big Bend Rd
Poplar Bluff, MO 63901-2813

Phone

(573) 686-7223

Fax

(573) 686-7224

NPI assigned

Jan 14, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Chul Kim, M.D.

Title

President

Phone

(573) 686-7223

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1263427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263427200000",
    "number": "1578894515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 BIG BEND RD",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639012813",
            "telephone_number": "573-686-7223",
            "fax_number": "573-686-7224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 BIG BEND RD",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639012813",
            "telephone_number": "573-686-7223",
            "fax_number": "573-686-7224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTWOOD MEDICAL CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-14",
        "last_updated": "2010-01-14",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "CHUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "573-686-7223",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MO",
            "license": "R8374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virginia Gale Welch
• Bailey Jaye Wells, APRN, FNP-BC
• Jennifer Christine Wendler
• Norma Phyllis Wesolowski, BS
• Chelsea Autumn West
• Christopher Ray Wheatley, MPT
• Casey Wheeler, LPC
• Sandra Kay Wheetley, L.P.C.
• Whispering Oaks RCF II, LLC
• Joyce Ann White

• Clinic/Center in Poplar Bluff, MO
• Providers in Poplar Bluff, MO by specialty
• Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2010; 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.