WESTERN BAPTIST MEDICAL VENTURES, INC (NPI# 1225393721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225393721 |
| Entity Type | Organization |
| Organization Name | WESTERN BAPTIST MEDICAL VENTURES, INC |
| Other Organization Name | BAPTIST HEALTH EMERGENCY PHYSICIANS |
| Practice Address |
2501 Kentucky Ave Paducah KY 42003-3813 |
| Mailing Address |
Po Box 7309 Paducah KY 42002-7309 |
| Practice Telephone | 2705752180 |
| Practice Fax Number | 2705758479 |
| Mailing Telephone | 2707449600 |
| Mailing Fax Number | 2707440834 |
| Enumeration Date | 2012-07-10 |
| Last Update Date | 2012-12-06 |
| Authorized Official Name | PAT HARROD (DIRECTOR OF PHYSICIAN INTEGRATION) |
| Authorized Official Telephone | 2705758362 |
| Is Organization Subpart | Y |
| Parent Organization Name | WESTERN BAPTIST MEDICAL VENTURES, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 363A00000X | Physician Assistant | PA1738 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
PA1142 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA962 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
3005990 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
3003122 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 1635 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| BAPTIST HEALTH EMERGENCY PHYSICIANS | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942445465 | Western Baptist Medical Ventures, Inc | Clinical Nurse Specialist | 2605 Kentucky Ave Ste 102, Paducah, KY 42003-3800 | 2008-12-12 |
| 1962832295 | Western Baptist Medical Ventures, Inc | Nurse Practitioner | 2603 Kentucky Ave, Suite 201, Paducah, KY 42003-3814 | 2013-11-22 |
| 1568699478 | Western Baptist Medical Ventures, Inc | Clinical Nurse Specialist | 2603 Kentucky Ave, Suite 304, Paducah, KY 42003-3814 | 2009-06-18 |
| 1922243054 | Western Baptist Medical Ventures, Inc | Family Medicine | 2501 Kentucky Ave, Paducah, KY 42003-3813 | 2008-12-03 |
| 1821280967 | Western Baptist Medical Ventures, Inc | Surgery | 2603 Kentucky Ave, Suite 103, Paducah, KY 42003-3814 | 2007-08-13 |
| 1073703054 | Western Baptist Medical Ventures, Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2501 Kentucky Ave, Paducah, KY 42003-3813 | 2007-07-26 |
| Street Address |
2501 KENTUCKY AVE |
| City | PADUCAH |
| State | KY |
| Zip Code | 42003-3813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043213820 | Robert Timothy Mabry | Emergency Medicine | 2501 Kentucky Ave, Paducah, KY 42003-3813 | 2005-05-24 |
| 1700485794 | Heather Sutton | Nurse Practitioner | 2501 Kentucky Ave, Paducah, KY 42003-3813 | 2020-10-20 |
| 1881291250 | Aaron Douglas Garrett | Nurse Practitioner | 2501 Kentucky Ave, Paducah, KY 42003-3813 | 2020-10-07 |
| 1265044044 | William Kory Oliver | Nurse Anesthetist, Certified Registered | 2501 Kentucky Ave, Paducah, KY 42003-3813 | 2020-08-21 |
| 1720699010 | Bobbie Lee Smith | Nurse Practitioner | 2501 Kentucky Ave, Paducah, KY 42003-3813 | 2020-08-11 |
| 1245854355 | Whitley Jo Swift | Nurse Practitioner | 2501 Kentucky Ave, Paducah, KY 42003-3813 | 2020-06-04 |
| 1821624339 | Kaci Rae Medley | Nurse Practitioner | 2501 Kentucky Ave, Paducah, KY 42003-3813 | 2020-03-16 |
| 1093355448 | Peyton Diane Englert | Nurse Anesthetist, Certified Registered | 2501 Kentucky Ave, Paducah, KY 42003-3813 | 2020-01-14 |
| 1720624356 | Jessica Gonzales | Family Medicine | 2501 Kentucky Ave, Paducah, KY 42003-3813 | 2019-11-19 |
| 1457904526 | Tanya Christine Cobb | Nurse Practitioner | 2501 Kentucky Ave, Paducah, KY 42003-3813 | 2019-07-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033757638 | Wilson Medical Staffing Pllc | Nurse Practitioner | 3130 Lone Oak Rd, Paducah, KY 42003 | 2019-12-13 |
| 1417415993 | Lauren Deanne Mcclain | Nurse Practitioner | 225 Medical Center Dr Ste 205, Paducah, KY 42003 | 2019-03-04 |
| 1871057042 | Brame Psychological Assessment Center | Psychologist | Ray and Kay Eckstein Outreach Center, 435 Berger Rd, Paducah, KY 42003 | 2019-01-22 |
| 1831611219 | Elizabeth Anne Wright | Social Worker | 425 Broadway Street, Paducah, KY 42003 | 2017-07-07 |
| 1558804724 | Kayla Reshea Franklin | Behavior Technician | 2075 Husband Road, Paducah, KY 42003 | 2016-11-21 |
| 1699189308 | Sunrise Children's Services, Inc. | Foster Care Agency | 3565 Lone Oak Rd Ste 2, Paducah, KY 42003 | 2014-06-20 |
| 1326488891 | Alice Ann Higdon Wilham | Surgery | 1532 Lone Oak Rd Ste 235, Paducah, KY 42003 | 2013-06-28 |
| 1881924611 | Meghan Ashley Lee | Nurse Practitioner | 1532 Lone Oak Rd Ste 245, Paducah, KY 42003 | 2009-12-29 |
| 1174771018 | Sleep Source Kentucky, LLC | Clinic/Center | 3125 Parisa Drive, Paducah, KY 42003 | 2008-09-04 |
| 1851547426 | Zandra Bristol Farley | Registered Nurse | 1532 Lone Oak Road Suite 445, Lourdes Marshall Nemer Pavillion, Paducah, KY 42003 | 2008-08-14 |
| Find all providers in zip 42003 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518217413 | Stephen Michael Frossard | Emergency Medicine | 2601 Kentucky Ave Ste 301, Paducah, KY 42003-3826 | 2012-09-18 |
| 1508882010 | Jeffrey L Frederich | Emergency Medicine | 120 Pershing Way, Paducah, KY 42001-8914 | 2006-07-15 |
| 1447246186 | John W Brazzell | Emergency Medicine | 125 S 20th St, Paducah, KY 42001 | 2005-09-27 |
| 1770570400 | Joseph M O'bryan | Emergency Medicine | 5120 Village Square Dr, Suite 103, Paducah, KY 42001-9060 | 2005-09-27 |
| 1043213820 | Robert Timothy Mabry | Emergency Medicine | 2501 Kentucky Ave, Paducah, KY 42003-3813 | 2005-05-24 |
| 1487016564 | John E Pierce Jr. | Emergency Medicine | 1530 Lone Oak Rd, Paducah, KY 42003-7901 | 2016-03-28 |
| 1003234584 | Adam Duley | Emergency Medicine | 1530 Lone Oak Rd, Paducah, KY 42003-7901 | 2014-04-02 |
| 1164788188 | Erin Brumley | Emergency Medicine | 1530 Lone Oak Rd, Paducah, KY 42003-7901 | 2012-04-03 |
| 1790922011 | Jeremy Lee Klope | Emergency Medicine | 1530 Lone Oak Rd, Emergency Department, Paducah, KY 42003-7901 | 2009-01-08 |
| 1750535795 | Jonathan Casey Brantley | Emergency Medicine | 1530 Lone Oak Rd, Emergency Department, Paducah, KY 42003-7901 | 2008-11-04 |
| Find all providers in PADUCAH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.