West Towne Clinical Services PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

WEST TOWNE CLINICAL SERVICES PLLC

Practice address

2755 W Park Dr Ste 1
Paducah, KY 42001-9058

Phone

(270) 703-0894

NPI assigned

Sep 2, 2020

Organization subpart

No

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

Authorized official

Name

Grant MathisNPI 1639571854

Title

Owner

Phone

(855) 426-6245

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Grant Mathis, PHARM.D.

  • Pharmacist
  • Paducah, KY
  • NPI 1639571854
  NPD Authorized official

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

{
    "created_epoch": "1599004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599004800000",
    "number": "1871107375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2755 W PARK DR STE 1",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420019058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2755 W PARK DR STE 1",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420019058",
            "telephone_number": "270-703-0894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST TOWNE CLINICAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-02",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-02",
        "status": "A",
        "authorized_official_last_name": "MATHIS",
        "authorized_official_first_name": "GRANT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "855-426-6245"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• West End Imaging, PLLC
• West Kentucky Anesthesia Associates
• West Kentucky Anesthesia LLC
• West Kentucky Gynecology Associates PLLC
• West Kentucky Rheumatology,PSC
• West Towne Pharmacy Inc (West Towne Pharmacy)
• Dustin West, APRN
• Jaclyn West, REGISTERED DIETITION
• John Brittain West
• Lena Kathryn West, RN, CDCES, MLDE

• Family Medicine Physician in Paducah, KY
• Providers in Paducah, KY by specialty
• Family Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2020; 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.