NPIMap

Organization Active NPI

Western Baptist Medical Ventures, Inc.

Doing business as Ear, Nose & Throat of W Kentucky

  • Otolaryngology Physician
  • Paducah, KY
National Provider Identifier
1790953768
Registry record updated Nov 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
WESTERN BAPTIST MEDICAL VENTURES, INC.
Doing business as
Ear, Nose & Throat of W Kentucky
Practice address
2601 Kentucky Ave Ste 201
Paducah, KY 42003-3825
Phone
(502) 575-0079
NPI assigned
Feb 13, 2008
Last updated
Nov 14, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
WESTERN BAPTIST MEDICAL VENTURES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 14, 2011

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

Authorized official

Name
Patricia Harrod
Title
Director of Physician Integration
Phone
(502) 575-8362

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X NU Primary

Addresses

Primary practice location

2601 Kentucky Ave Ste 201
Paducah, KY 42003-3825

Mailing address

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

Other names 1

  • Ear, Nose & Throat of W Kentucky Doing business as

National Provider Directory

National Provider Directory
Part of
Western Baptist Medical Venturesinc

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": "1202860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321228800000",
    "number": "1790953768",
    "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": "2601 KENTUCKY AVE STE 201",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420033825",
            "telephone_number": "502-575-0079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN BAPTIST MEDICAL VENTURES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WESTERN BAPTIST MEDICAL VENTURES, INC.",
        "enumeration_date": "2008-02-13",
        "last_updated": "2011-11-14",
        "status": "A",
        "authorized_official_last_name": "HARROD",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "DIRECTOR OF PHYSICIAN INTEGRATION",
        "authorized_official_telephone_number": "502-575-8362"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ear, Nose & Throat of W Kentucky",
            "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 Nov 14, 2011; 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.