WEST CLINIC, P.C. (NPI# 1942627559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942627559 |
| Entity Type | Organization |
| Organization Name | WEST CLINIC, P.C. |
| Practice Address |
1265 Union Ave Thomas Basement Memphis TN 38104-3415 |
| Mailing Address |
100 N Humphreys Blvd Memphis TN 38120-2146 |
| Practice Telephone | 9016830055 |
| Practice Fax Number | 9013222955 |
| Mailing Telephone | 9016830055 |
| Mailing Fax Number | 9013222955 |
| Enumeration Date | 2014-03-20 |
| Last Update Date | 2014-03-20 |
| Authorized Official Name | MR. ERICH A MOUNCE (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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467823682 | West Clinic, P.C. | Physician Assistant | 7714 Poplar Ave Ste 200, Germantown, TN 38138-3941 | 2015-10-14 |
| 1659745420 | West Clinic, P.C. | Internal Medicine | 1211 Union Ave, Memphis, TN 38104-6638 | 2015-11-17 |
| 1144610353 | West Clinic, P.C. | Internal Medicine | 7945 Wolf River Blvd, Germantown, TN 38138-1762 | 2015-01-26 |
| 1740607225 | West Clinic, P.C. | Internal Medicine | 322 Hospital Blvd, Jackson, TN 38305-2079 | 2014-03-24 |
| 1770900268 | West Clinic, P.C. | Internal Medicine | 1290 Kelley Dr, Paris, TN 38242-4745 | 2014-03-24 |
| 1215354824 | West Clinic, P.C. | Radiology | 1381 S Germantown Rd, Germantown, TN 38138-2225 | 2014-03-20 |
| 1184063778 | West Clinic, P.C. | Internal Medicine | 1251 Wesley Dr, Suite 107, Memphis, TN 38116-6442 | 2013-06-18 |
| 1992043046 | West Clinic, P.C. | Internal Medicine | 1522 N Division St, Blytheville, AR 72315-1448 | 2013-01-24 |
| 1922350735 | West Clinic, P.C. | Internal Medicine | 271 W Polk Ave, West Memphis, AR 72301-4228 | 2012-10-04 |
| 1528319357 | West Clinic, P.C. | Surgery | 8000 Wolf River Blvd, Suite 100, Germantown, TN 38138-1754 | 2012-09-19 |
| Street Address |
1265 UNION AVE THOMAS BASEMENT |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38104-3415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952304107 | David P Fang | Radiology | 1265 Union Ave, Memphis, TN 38104-3415 | 2005-05-23 |
| 1467069369 | Melissa Madolyn Morgan | Nurse Practitioner | 1265 Union Ave, Memphis, TN 38104-3415 | 2020-09-25 |
| 1306459516 | Vladyslava Inman | Nurse Practitioner | 1265 Union Ave, Memphis, TN 38104-3415 | 2020-08-26 |
| 1073126553 | Katherine Ann Palo | Nurse Practitioner | 1265 Union Ave, Memphis, TN 38104-3415 | 2020-08-25 |
| 1194335729 | Britney Michelle Holton | Nurse Practitioner | 1265 Union Ave, Memphis, TN 38104-3415 | 2020-08-07 |
| 1568082394 | Joan Danelle Morris | Dietitian, Registered | 1265 Union Ave, 4th Floor, Shorb Tower, Memphis, TN 38104 | 2020-04-22 |
| 1255950648 | Liza Southerton | Dietitian, Registered | 1265 Union Ave, Memphis, TN 38104-3415 | 2020-04-15 |
| 1306465711 | Andrew Tutor | Student in an Organized Health Care Education/Training Program | 1265 Union Ave, Thomas Wing, 7th Floor, Rm 707, Memphis, TN 38104 | 2020-04-15 |
| 1275152761 | Jessica Galtelli | Dietitian, Registered | 1265 Union Ave, 612 Thomas, Nutrition Dept, Memphis, TN 38104 | 2020-04-14 |
| 1932728029 | Allison Elizabeth Bray | Dietitian, Registered | 1265 Union Ave, Memphis, TN 38104-3415 | 2020-04-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952900367 | Christy White | Recreation Therapist | 1030 Jefferson Ave (rt117), Memphis, TN 38104 | 2020-10-19 |
| 1821615873 | Altiana Carter | Optometrist | 650 New York St, Memphis, Tn 38104, Memphis, TN 38104 | 2020-06-25 |
| 1952898413 | Family To Family Adult Care Service | Chore Provider | 1331 Union Ave Suite 1028, Mempnis, TN 38104 | 2018-04-19 |
| 1326544800 | Kimberly Vestoria Mcclinton | Nurse Practitioner | 2200 Union Ave 1, Memphis, TN 38104 | 2018-04-03 |
| 1649799339 | Benjamin Duhart Jr. | Pharmacist | 1265 Union Avenue- Methodist University Hospital, Ground Floor Pharmacy Administration, Memphis, TN 38104 | 2017-09-13 |
| 1134644982 | Amy Michelle Wise | Nurse Practitioner | 1325 Eastmoreland Ave Ste 500, Memphis, TN 38104 | 2017-08-13 |
| 1316468572 | Jinger Cathey | Social Worker | 1330 Jefferson Ave, Memphis, TN 38104 | 2017-06-28 |
| 1336669183 | Charma May Kavuncu | Social Worker | 1407 Union Ave Ste 1100, Memphis, TN 38104 | 2017-06-22 |
| 1003345398 | Angelica J Dennis | Nurse Practitioner | 1265 Union, Memphis, TN 38104 | 2017-06-08 |
| 1609302546 | Cheryl Beene | Nurse Practitioner | 1211 Union Ave Ste 475, Memphis, TN 38104 | 2017-05-11 |
| Find all providers in zip 38104 | ||||
| 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 |
|---|---|---|---|---|
| 1801071451 | West Clinic, PC | Radiology | 55 Humphreys Ctr, Suite 100, Memphis, TN 38120-2374 | 2008-01-02 |
| 1518960392 | Thomas E Merchant | Radiology | 262 Danny Thomas Pl # Ms 0515, Memphis, TN 38105-3678 | 2005-05-24 |
| 1144573999 | Mid-south Medical Professionals, P.a. | Radiology | 6019 Walnut Grove Rd, Memphis, TN 38120-2113 | 2012-10-17 |
| 1639436603 | Sahaja Acharya | Radiology | 262 Danny Thomas Pl, Memphis, TN 38105-3678 | 2012-04-16 |
| 1902127269 | John Thomas Lucas | Radiology | 262 Danny Thomas Pl, Memphis, TN 38105 | 2010-06-21 |
| 1366769069 | Christopher Lon Tinkle | Radiology | 262 Danny Thomas Pl, Memphis, TN 38105-3678 | 2010-04-21 |
| 1396941449 | Angela H Wortham | Radiology | 6019 Walnut Grove Road, Memphis, TN 38120 | 2007-06-25 |
| 1932322989 | David Perry Roberge | Radiology | 332 N Lauderdale St, Memphis, TN 38105-2729 | 2007-04-10 |
| 1013017094 | Matthew T. Ballo | Radiology | 100 N Humphreys Blvd, Memphis, TN 38120-2146 | 2006-09-22 |
| 1073616504 | Jea Youl Lee | Radiology | 55 Humphreys Ctr, Suite 100, Memphis, TN 38120-2374 | 2006-09-07 |
| Find all providers in MEMPHIS | ||||
Please comment or provide details below to improve the information on WEST CLINIC, P.C..
| 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.