NPIMap

Organization Active NPI

Wesley & Klippenstein, PC

  • Ambulatory Surgical Clinic/Center
  • Nashville, TN
National Provider Identifier
1679521389
Registry record updated Jun 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
0000000072 Issued in TN
Legal business name
WESLEY & KLIPPENSTEIN, PC
Doing business as
Wesley Ophthalmic Plastic Surgery Center
Practice address
1800 Church St.
Suite 150
Nashville, TN 37203-2233
Phone
(615) 329-3624
Fax
(615) 329-0639
NPI assigned
May 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2021

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

Authorized official

Name
Dr. Ralph E. Wesley, M.D.NPI 1679521918
Title
Owner
Phone
(615) 329-3624

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 0000000072 TN Primary
Ambulatory Surgical Clinic/Center 261QA1903X

Addresses

Primary practice location

1800 Church St.
Suite 150
Nashville, TN 37203-2233

Mailing address

1800 Church St
Suite 100
Nashville, TN 37203-2233
Phone (615) 329-3624

Other identifiers 1

IdentifierTypeStateIssuer
1000929OtherTNBCBS PROVIDER ID#

Other names 1

  • Wesley Ophthalmic Plastic Surgery Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110415000427 TN Part B Supplier - Ambulatory Surgical Center 0840273900 Practice locations: Nashville, TN

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Wesley Ophthalmic Plastic Surgery CenterCCN 44C0001061
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D1008680Wesley Ophthalmic Plastic Surgery Ctr1800 Church Street Suite 100, Nashville, TN 37203Certificate of waiverJan 23, 2027

National Provider Directory

National Provider Directory
Tax ID family
Wesley and Klippenstein PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1800 Church St
Ste 100
Nashville, TN 37203
Phone (615) 329-3624

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624838400000",
    "number": "1679521389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 CHURCH ST",
            "address_2": "SUITE 100",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032233",
            "telephone_number": "615-329-3624",
            "fax_number": "615-329-0639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 CHURCH ST.",
            "address_2": "SUITE 150",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032233",
            "telephone_number": "615-329-3624",
            "fax_number": "615-329-0639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESLEY & KLIPPENSTEIN, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-05",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A",
        "authorized_official_last_name": "WESLEY",
        "authorized_official_first_name": "RALPH",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-329-3624",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TN",
            "license": "0000000072",
            "primary": true
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER ID#",
            "identifier": "1000929",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wesley Ophthalmic Plastic Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.