Western Kentucky Pulmonary Clinic

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

Legal business name

WESTERN KENTUCKY PULMONARY CLINIC

Practice address

1724 Kenton St
Suite 1B
Hopkinsville, KY 42240-1981

Phone

(270) 886-8840

Fax

(270) 886-8869

NPI assigned

Jul 28, 2006

Last updated

Mar 7, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Manoj H Majmudar, MDNPI 1659336097

Title

Owner

Phone

(270) 886-8840

Specialties & licenses 4

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Manoj H Majmudar, MD

  • Pulmonary Disease Physician
  • Hopkinsville, KY
  • NPI 1659336097
  Medicare reassignment Authorized official
• Seon Hui Balistrere, APRN

  • Adult Health Nurse Practitioner
  • Hopkinsville, KY
  • NPI 1033826946
  Medicare reassignment NPD

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394150400000",
    "number": "1962416842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1724 KENTON ST",
            "address_2": "SUITE 1B",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422401981",
            "telephone_number": "270-886-8840",
            "fax_number": "270-886-8869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1724 KENTON ST",
            "address_2": "SUITE 1B",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422401981",
            "telephone_number": "270-886-8840",
            "fax_number": "270-886-8869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN KENTUCKY PULMONARY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2014-03-07",
        "status": "A",
        "authorized_official_last_name": "MAJMUDAR",
        "authorized_official_first_name": "MANOJ",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-886-8840",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65936122",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000208318",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan Colleen West
• Brandy L Westerfield, LCSW
• Western Kentucky Hospitalist Group
• Western Kentucky Institute of Plastic, Reconstructive and Aesthetic Su
• Western Kentucky Pulmonary Clinic
• Western Kentucky Surgical Associates PLLC
• Western Ky Medical, LLC
• Western Ky Rheumatology, PLLC
• Western State Hospital Pharmacy
• Adrienne White

• Pulmonary Disease Physician in Hopkinsville, KY
• Providers in Hopkinsville, KY by specialty
• Pulmonary Disease Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.