WESTERN BAPTIST MEDICAL VENTURES, INC (NPI# 1821280967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821280967 |
| Entity Type | Organization |
| Organization Name | WESTERN BAPTIST MEDICAL VENTURES, INC |
| Other Organization Name | W. KENTUCKY SURGICAL ASSOCIATES |
| Practice Address |
2603 Kentucky Ave Suite 103 Paducah KY 42003-3814 |
| Mailing Address |
Po Box 7309 Paducah KY 42002-7309 |
| Practice Telephone | 2704157724 |
| Practice Fax Number | 2704157727 |
| Mailing Telephone | 2707449600 |
| Mailing Fax Number | 2707440834 |
| Enumeration Date | 2007-08-13 |
| Last Update Date | 2011-11-14 |
| Authorized Official Name | MR. LARRY O BARTON (VICE PRESIDENT) |
| Authorized Official Telephone | 2705752100 |
| Is Organization Subpart | Y |
| Parent Organization Name | WESTERN BAPTIST MEDICAL VENTURES, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Allopathic & Osteopathic Physicians | ||
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| W. KENTUCKY SURGICAL ASSOCIATES | 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 |
| 1225393721 | Western Baptist Medical Ventures, Inc | Internal Medicine | 2501 Kentucky Ave, Paducah, KY 42003-3813 | 2012-07-10 |
| 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 |
| 1073703054 | Western Baptist Medical Ventures, Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2501 Kentucky Ave, Paducah, KY 42003-3813 | 2007-07-26 |
| Street Address |
2603 KENTUCKY AVE SUITE 103 |
| City | PADUCAH |
| State | KY |
| Zip Code | 42003-3814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487656658 | Theodore Edwin Clyde Davies | Neurological Surgery | 2603 Kentucky Ave, Ste 404, Paducah, KY 42003-3814 | 2005-06-01 |
| 1760873939 | Brandy Buckhalter | Nurse Practitioner | 2603 Kentucky Ave, Suite 105, Paducah, KY 42003-3814 | 2015-02-10 |
| 1699179895 | Baptist Health Medical Group Inc | Nurse Practitioner | 2603 Kentucky Ave, Suite 404, Paducah, KY 42003-3814 | 2014-10-17 |
| 1568862951 | Amy Knees | Nurse Practitioner | 2603 Kentucky Ave, Suite 301, Paducah, KY 42003-3814 | 2014-09-04 |
| 1932519766 | Chadwick Bassi | Podiatrist | 2603 Kentucky Ave, Suite 105, Paducah, KY 42003-3814 | 2014-05-01 |
| 1679998140 | Jonathan Gipson | Nurse Practitioner | 2603 Kentucky Ave, Suite 404, Paducah, KY 42003-3814 | 2014-02-20 |
| 1962832295 | Western Baptist Medical Ventures, Inc | Nurse Practitioner | 2603 Kentucky Ave, Suite 201, Paducah, KY 42003-3814 | 2013-11-22 |
| 1487924353 | Thomas James Gruber | Neurological Surgery | 2603 Kentucky Ave, Suite 404, Paducah, KY 42003-3814 | 2012-01-09 |
| 1013229368 | William Lee Titsworth | Neurological Surgery | 2603 Kentucky Ave, Suite 402, Paducah, KY 42003-3814 | 2010-07-01 |
| 1568699478 | Western Baptist Medical Ventures, Inc | Clinical Nurse Specialist | 2603 Kentucky Ave, Suite 304, Paducah, KY 42003-3814 | 2009-06-18 |
| 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 | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326488891 | Alice Ann Higdon Wilham | Surgery | 1532 Lone Oak Rd Ste 235, Paducah, KY 42003 | 2013-06-28 |
| 1154669026 | Charles King Davis Jr. | Surgery | 755 Woodland Dr, Paducah, KY 42001-4677 | 2013-01-28 |
| 1841501764 | Jason Ronald Cumbers | Surgery | 2603 Kentucky Ave Ste 105, Paducah, KY 42003-3815 | 2010-06-24 |
| 1609062306 | David J Musser | Surgery | 1532 Lone Oak Rd Ste 405, Paducah, KY 42003-7942 | 2007-09-18 |
| 1609918861 | Paducah Surgical Associates, Pllc | Surgery | 2603 Kentucky Ave Ste 304, Paducah, KY 42003-3829 | 2007-02-13 |
| 1265810444 | Kristen Nicole Williams | Surgery | 2601 Kentucky Ave Ste 201, Paducah, KY 42003-3825 | 2015-05-08 |
| 1932401890 | David M. West Md Psc | Surgery | 2601 Kentucky Ave, Suite 102, Paducah, KY 42003-3817 | 2010-11-29 |
| 1578791018 | Lindsey Jo Lund | Surgery | 225 Medical Center Dr, Suite 303, Paducah, KY 42003-7915 | 2009-06-23 |
| 1467617423 | Paige Nealy Quintero | Surgery | 2501 Kentucky Ave, Paducah, KY 42003-3813 | 2008-07-18 |
| 1134394745 | Lindita N Coku | Surgery | 1530 Lone Oak Rd, Paducah, KY 42003-7901 | 2008-04-24 |
| 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.