WEST CLINIC, PC (NPI# 1902081557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902081557 |
| Entity Type | Organization |
| Organization Name | WEST CLINIC, PC |
| Practice Address |
7601 Southcrest Pkwy Southaven MS 38671-4739 |
| Mailing Address |
100 N Humphreys Blvd Memphis TN 38120-2146 |
| Practice Telephone | 9016830055 |
| Practice Fax Number | 9013222970 |
| Mailing Telephone | 9016830055 |
| Mailing Fax Number | 9013222970 |
| Enumeration Date | 2008-01-02 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | MR. STEVE M COPLON (CEO) |
| Authorized Official Telephone | 9016830055 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | AR BCBS | 8P003 | 01 |
| MS | 09013755 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407084668 | West Clinic, PC | Internal Medicine | 1790 Hospital Drive, Clarksdale, MS 38614-7202 | 2009-06-26 |
| 1801071451 | West Clinic, PC | Radiology | 55 Humphreys Ctr, Suite 100, Memphis, TN 38120-2374 | 2008-01-02 |
| 1134357122 | West Clinic, PC | Specialist | 201 Lakeview Rd, Suite A, Somerville, TN 38068-9742 | 2009-06-29 |
| 1194998856 | West Clinic, PC | Specialist | 2996 Kate Bond Rd, Suite 303, Memphis, TN 38133-4030 | 2008-04-02 |
| 1396765608 | West Clinic, PC | Psychologist | 100 N Humphreys Blvd, Memphis, TN 38120-2146 | 2006-07-20 |
| 1447276605 | West Clinic, PC | Specialist | 7945 Wolf River Blvd, Germantown, TN 38138-1762 | 2006-07-14 |
| Street Address |
7601 SOUTHCREST PKWY |
| City | SOUTHAVEN |
| State | MS |
| Zip Code | 38671-4739 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285637090 | Cunningham Physical Medicine | Physical Medicine & Rehabilitation | 7601 Southcrest Pkwy, Southaven, MS 38671-4739 | 2005-05-24 |
| 1598395501 | Raymond Bennett Caldwell Iv | Physician Assistant | 7601 Southcrest Pkwy, Southaven, MS 38671-4739 | 2020-01-17 |
| 1245871847 | Tammy Q Reed | Nurse Practitioner | 7601 Southcrest Pkwy, Southaven, MS 38671-4739 | 2019-10-04 |
| 1871078436 | Catherine R Stepter | Nurse Practitioner | 7601 Southcrest Pkwy, Southaven, MS 38671-4739 | 2018-09-30 |
| 1669955423 | Tannisha Monique Loggins | Nurse Practitioner | 7601 Southcrest Pkwy, Southaven, MS 38671-4739 | 2018-09-07 |
| 1982185609 | Gloria S. Hicks | Nurse Anesthetist, Certified Registered | 7601 Southcrest Pkwy, Southaven, MS 38671-4739 | 2018-08-22 |
| 1326531229 | John Walker | Registered Nurse | 7601 Southcrest Pkwy, Southaven, MS 38671-4739 | 2018-06-14 |
| 1750871299 | Alejandro Polania | Physician Assistant | 7601 Southcrest Pkwy, Southaven, MS 38671-4739 | 2018-05-10 |
| 1528558061 | Deera Warren | Nurse Practitioner | 7601 Southcrest Pkwy, Southaven, MS 38671 | 2018-05-10 |
| 1871083386 | Kenneth A Krzyzkowski | Nurse Practitioner | 7601 Southcrest Pkwy, Southaven, MS 38671-4739 | 2018-05-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285196196 | Emma Tinsley-bowles Long | Social Worker | 8786 Northcreek Blvd, Bldg 8 Apt 3, Southaven, MS 38671 | 2019-04-01 |
| 1851847586 | Tiffany Lashea Jones | Adult Companion | 8755 Millbranch Road, Southaven, MS 38671 | 2016-09-01 |
| 1538526140 | Desoto Pediatric Extended Care LLC | Skilled Nursing Facility | 750 Stateline Road East, Southhaven, MS 38671 | 2016-01-27 |
| 1073983052 | Tara Burt | Physical Therapist | 7900 Airways Blvd. Building A, Suite 2, Southaven, MS 38671 | 2015-10-02 |
| 1295160463 | Ideal Community Care,llc | In Home Supportive Care | 8869 Centre Str #3, Southaven, MS 38671 | 2013-09-06 |
| 1578995692 | Gregory Charles Eakins Jr. | Optometrist | 338 Goodman Rd West, Southaven, MS 38671 | 2013-07-31 |
| 1295173169 | Erica R. Martin | Social Worker | 975 Swinnea Rdg Ste 3, Southaven, MS 38671 | 2013-06-12 |
| 1386918431 | Freds Stores of Tennessee Inc | Pharmacy | 710 Church Road, Southaven, MS 38671 | 2012-03-06 |
| 1740565613 | Mary Jeanette Scruggs | Pharmacist | 1011 Goodman Rd, Southaven, MS 38671 | 2011-10-11 |
| 1184919268 | First Pharmacy Services 5 | Pharmacy | 5185a Getwell Rd, Southaven, MS 38671 | 2011-06-16 |
| Find all providers in zip 38671 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| 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 Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598956641 | Rameses L Sroufe | Radiology | 7601 Southcrest Pkwy, Southaven, MS 38671-4739 | 2007-08-05 |
| 1255323663 | Omar F Ghandour | Radiology | 7601 Southcrest Pkwy, Southaven, MS 38671-4739 | 2005-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700152212 | Eplus Oncologics Mississippi, LLC | Radiology | 127 South 13th Street, Laurel, MS 39440-4111 | 2012-03-29 |
| 1528330214 | Robert H Jones Md PC | Radiology | 65 Hickory Dr, West Point, MS 39773-3948 | 2012-01-27 |
| 1215269881 | John Wycoff Godsey | Radiology | 502 Martin Ave., Ocean Springs, MS 39564 | 2010-02-08 |
| 1174613830 | Vicksburg Oncology Associates LLC | Radiology | 970 Lakeland Dr Ste 34, Jackson, MS 39216-4640 | 2006-10-13 |
| 1881791812 | Russell Scott Anderson Md Pa | Radiology | 1704 23rd Avenue, Meridian, MS 39301 | 2006-09-20 |
| 1730292798 | Burnett Hanson | Radiology | 1501 Aston Ave, Mccomb, MS 39648-2734 | 2006-08-16 |
| 1457364556 | L. Cameron Pimperl | Radiology | 127 S 13th Ave, Laurel, MS 39440-4111 | 2006-08-13 |
| 1720020795 | Elbert Alan Duncan | Radiology | 990 South Madison Street, Tupelo, MS 38801-6308 | 2006-06-12 |
| 1922060722 | William D. Burleson | Radiology | 1732 Medical Park Dr, Biloxi, MS 39532-2131 | 2006-04-05 |
| 1184607210 | Srinivasan Vijayakumar | Radiology | 350 W Woodrow Wilson Ave, Suite 16, Jackson, MS 39213-7681 | 2005-11-22 |
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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.