NPIMap

Organization Active NPI

Western Baptist Medical Ventures, Inc

  • Surgery Physician
  • Paducah, KY
National Provider Identifier
1821280967
Registry record updated Nov 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
WESTERN BAPTIST MEDICAL VENTURES, INC
Practice address
2603 Kentucky Ave
Suite 103
Paducah, KY 42003-3814
Phone
(270) 415-7724
Fax
(270) 415-7727
NPI assigned
Aug 13, 2007
Organization subpart
Yes
Parent organization
WESTERN BAPTIST MEDICAL VENTURES, INCAs 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
Mr. Larry O Barton
Title
Vice President
Phone
(270) 575-2100

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X Primary
Vascular Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0129X
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208G00000X

Addresses

Primary practice location

2603 Kentucky Ave
Suite 103
Paducah, KY 42003-3814

Mailing address

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

Other names 1

  • W. KENTUCKY SURGICAL ASSOCIATES 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": "1186963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321228800000",
    "number": "1821280967",
    "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 103",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420033814",
            "telephone_number": "270-415-7724",
            "fax_number": "270-415-7727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN BAPTIST MEDICAL VENTURES, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WESTERN BAPTIST MEDICAL VENTURES, INC",
        "enumeration_date": "2007-08-13",
        "last_updated": "2011-11-14",
        "status": "A",
        "authorized_official_last_name": "BARTON",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "270-575-2100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "W. KENTUCKY SURGICAL ASSOCIATES",
            "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.