WEST CLINIC PC (NPI# 1457401416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457401416 |
| Entity Type | Organization |
| Organization Name | WEST CLINIC PC |
| Other Organization Name | MEMPHIS HEART CLINIC |
| Practice Address |
6025 Walnut Grove Rd Ste. 111 Memphis TN 38120-2102 |
| Mailing Address |
100 N Humphreys Blvd Memphis TN 38120-2146 |
| Practice Telephone | 9018180300 |
| Practice Fax Number | 9018180458 |
| Mailing Telephone | 9016830055 |
| Mailing Fax Number | 9013229097 |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2011-11-10 |
| Authorized Official Name | MR. RONALD O DAVIS (CFO) |
| Authorized Official Telephone | 9016830055 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | BCBS | 8P003 | 01 |
| MS | 09015177 | 05 | |
| TN | AETNA | 7100204 | 01 |
| TN | RAIL ROAD MEDICARE | CN1272 | 01 |
| TN | 3704068 | 05 | |
| MS | RAIL ROAD MEDICARE | CH5373 | 01 |
| Other Name | Type Code |
|---|---|
| Memphis Heart Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366592321 | West Clinic PC | Internal Medicine | 38 Access Road, Holly Springs, MS 38634 | 2007-01-11 |
| 1164594081 | West Clinic PC | Specialist | 240 Grandview Drive, Brighton, TN 38011-4253 | 2006-11-15 |
| 1235201617 | West Clinic PC | Specialist | 2001 State Dr, Corinth, MS 38834-9324 | 2006-11-14 |
| 1437436797 | West Clinic PC | Surgery | 100 N Humphreys Blvd, Memphis, TN 38120-2146 | 2011-11-14 |
| 1942584594 | West Clinic PC | Surgery | 1385 W Brierbrook Rd, Germantown, TN 38138-2208 | 2011-09-30 |
| 1225188436 | West Clinic PC | Internal Medicine | 391 Southcrest Cir, Ste. 200, Southaven, MS 38671-6730 | 2007-01-11 |
| 1144370362 | West Clinic PC | Internal Medicine | 1995 Highway 51 S, Ste 208, Covington, TN 38019-3635 | 2007-01-11 |
| 1275605636 | West Clinic PC | Specialist | 1588 Union Ave, Memphis, TN 38104-3729 | 2006-11-14 |
| 1992877369 | West Clinic PC | Specialist | 7668 Airways Blvd, Southaven, MS 38671-5304 | 2006-11-14 |
| 1023180478 | West Clinic PC | Specialist | 1500 W Poplar Ave, Suite 304, Collierville, TN 38017-0601 | 2006-11-14 |
| Street Address |
6025 WALNUT GROVE RD STE. 111 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38120-2102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669478103 | Emmel B. Golden Jr. | Internal Medicine | 6025 Walnut Grove Rd, Ste 508, Memphis, TN 38120-2125 | 2005-06-21 |
| 1366957623 | Baptist Memorial Hospital | Pharmacy | 6025 Walnut Grove Rd, Memphis, TN 38120-2131 | 2017-12-08 |
| 1891159364 | Laura Shea Mccloskey | Nurse Practitioner | 6025 Walnut Grove Rd, Suite 508, Memphis, TN 38120-2131 | 2016-04-11 |
| 1033596218 | Amanda Allen | Nurse Practitioner | 6025 Walnut Grove Rd, Suite 111, Memphis, TN 38120-2131 | 2015-04-27 |
| 1558758318 | James Daniel Carson | Student in an Organized Health Care Education/Training Program | 6025 Walnut Grove Rd, Memphis, TN 38120-2131 | 2015-04-20 |
| 1891186912 | Jaime Watkins | Nurse Practitioner | 6025 Walnut Grove Rd, Suite 111, Memphis, TN 38120-2131 | 2015-02-11 |
| 1154736239 | Sameh Fikry Askandar | Student in an Organized Health Care Education/Training Program | 6025 Walnut Grove Rd, Memphis, TN 38120-2131 | 2014-06-26 |
| 1821418104 | Amy S. Thomas | Nurse Practitioner | 6025 Walnut Grove Rd, Suite 508, Memphis, TN 38120-2131 | 2014-04-24 |
| 1962755405 | Carrie-ann Hogan | Pharmacist | 6025 Walnut Grove Rd, Memphis, TN 38120-2131 | 2012-10-22 |
| 1811279656 | Memphis Lung Physicians Foundation, Inc. | Internal Medicine | 6025 Walnut Grove Rd, Suite 508, Memphis, TN 38120-2131 | 2011-09-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093285637 | Cobblestone Midwifery | Midwife | 5617 Ashley Square South, Memphis, TN 38120 | 2018-11-27 |
| 1649768870 | River City Neuropsychology, Pllc | Psychologist | 1661 International Dr., Suite 400, Memphis, TN 38120 | 2018-04-24 |
| 1841676152 | Jody Lavaun Clements | Dentist | 795 Ridge Lake Blvd Ste 101, Memphis, TN 38120 | 2015-08-10 |
| 1578957122 | Christina Lumpkin | Nurse Practitioner | 6305 Humphreys Blvd Ste 101, Memphis, TN 38120 | 2015-03-21 |
| 1316352099 | Daniel Poor | Emergency Medicine | Baptist Memorial Hospital Memphis, 124 N. Humphrey's Blvd, Memphis, TN 38120 | 2014-06-21 |
| 1245643246 | Kysha Saleem | Nurse Practitioner | 6027 Walnut Grove Rd., Suite 312, Memphis, TN 38120 | 2014-06-06 |
| 1376962613 | John Christopher Swearingen | Dentist | 780 Ridge Lake Blvd Ste 101, Memphis, TN 38120 | 2014-04-15 |
| 1275884645 | Rebecca Leigh Goedecke | Nurse Practitioner | 6215 Humphreys Blvd Ste 301, Memphis, TN 38120 | 2012-09-26 |
| 1730475179 | Sarah Elizabeth Hammond | Surgery | Plastic Surgery Group, 80 Humphreys Blvd #100, Memphis, TN 38120 | 2011-06-23 |
| 1922302785 | Daniel L Hester | Nurse Anesthetist, Certified Registered | 1755 Kirby Parkway Suite 330, Memphis, TN 38120 | 2011-01-07 |
| Find all providers in zip 38120 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487270963 | Daphne Hall | Specialist | 2504 Mount Moriah Rd Bldg D, Memphis, TN 38115-1519 | 2020-06-22 |
| 1013481597 | Tiffany Powell | Specialist | 679 S Mendenhall Rd, Memphis, TN 38117-5212 | 2019-01-17 |
| 1245735067 | Xclusive Kutz Barbershop | Specialist | 3610 Park Ave, Memphis, TN 38111-5630 | 2018-03-25 |
| 1033582267 | Aletta Roebuck | Specialist | 2275 Edgewood Cv, Memphis, TN 38104-4357 | 2015-11-10 |
| 1922482967 | Convalescent Home Health Services | Specialist | 2904 Chelsea Ave, Memphis, TN 38108-1705 | 2015-07-18 |
| 1821407859 | Rachel Siegel | Specialist | 430 Essex Pl, Memphis, TN 38120-2422 | 2014-08-04 |
| 1790199180 | Supplemental Specialists | Specialist | 7665 Easterly Ln, Memphis, TN 38125-4313 | 2014-06-13 |
| 1982027769 | Dowen E Synder | Specialist | 6224 Shady Grove Ln, Memphis, TN 38120-3107 | 2014-01-29 |
| 1962845503 | Atlas Health, Pllc | Specialist | 14 N Mclean Blvd, Memphis, TN 38104-2645 | 2013-04-13 |
| 1760725659 | Jyothishree PC | Specialist | 6005 Park Ave Ste 626b, Memphis, TN 38119-5221 | 2013-03-29 |
| Find all providers in MEMPHIS | ||||
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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.