Organization Active NPI

Western Baptist Medical Ventures, Inc

  • Obstetrics & Gynecology Physician
  • Paducah, KY
National Provider Identifier
1962832295
Registry record updated Nov 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
WESTERN BAPTIST MEDICAL VENTURES, INC
Practice address
2603 Kentucky Ave
Suite 201
Paducah, KY 42003-3814
Phone
(270) 443-1220
Fax
(270) 443-0023
NPI assigned
Nov 22, 2013
Organization subpart
Yes
Parent organization
WESTERN BAPTIST MEDICAL VENTURES, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 25, 2013

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

Authorized official

Name
Pat Harrod
Title
Director of Physician Integration
Phone
(270) 575-8362

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207V00000X Primary
Obstetrics & Gynecology Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LX0001X

Addresses

Primary practice location

2603 Kentucky Ave
Suite 201
Paducah, KY 42003-3814

Mailing address

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

Other names 1

  • BAPTIST HEALTH WOMEN'S CHOICE 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": "1385078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385337600000",
    "number": "1962832295",
    "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 201",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420033814",
            "telephone_number": "270-443-1220",
            "fax_number": "270-443-0023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN BAPTIST MEDICAL VENTURES, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WESTERN BAPTIST MEDICAL VENTURES, INC",
        "enumeration_date": "2013-11-22",
        "last_updated": "2013-11-25",
        "status": "A",
        "authorized_official_last_name": "HARROD",
        "authorized_official_first_name": "PAT",
        "authorized_official_title_or_position": "DIRECTOR OF PHYSICIAN INTEGRATION",
        "authorized_official_telephone_number": "270-575-8362"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BAPTIST HEALTH WOMEN'S CHOICE",
            "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 25, 2013; 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.