WEST CLINIC PC (NPI# 1992877369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992877369 |
| Entity Type | Organization |
| Organization Name | WEST CLINIC PC |
| Practice Address |
7668 Airways Blvd Southaven MS 38671-5304 |
| Mailing Address |
100 N Humphreys Blvd Memphis TN 38120-2146 |
| Practice Telephone | 6623499556 |
| Practice Fax Number | 6623490559 |
| Mailing Telephone | 9016830055 |
| Mailing Fax Number | 9016852969 |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2011-10-20 |
| 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 |
|---|---|---|---|
| MO | 500557509 | 05 | |
| MS | 09013755 | 05 | |
| AR | BCBS AR | 8P003 | 01 |
| AR | 132175002 | 05 |
| 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 |
| 1457401416 | West Clinic PC | Specialist | 6025 Walnut Grove Rd, Ste. 111, Memphis, TN 38120-2102 | 2007-01-11 |
| 1275605636 | West Clinic PC | Specialist | 1588 Union Ave, Memphis, TN 38104-3729 | 2006-11-14 |
| 1023180478 | West Clinic PC | Specialist | 1500 W Poplar Ave, Suite 304, Collierville, TN 38017-0601 | 2006-11-14 |
| Street Address |
7668 AIRWAYS BLVD |
| City | SOUTHAVEN |
| State | MS |
| Zip Code | 38671-5304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801825781 | Sonia M Benn | Internal Medicine | 7668 Airways Blvd, Southaven, MS 38671-5304 | 2006-07-02 |
| 1821307349 | Carrie E Mckiernon | Nurse Practitioner | 7668 Airways Blvd, Southaven, MS 38671-5304 | 2010-10-01 |
| 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 | 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 |
|---|---|---|---|---|
| 1710134945 | Desoto Thyroid and Endocrinology | Specialist | 5960 Getwell Rd, Suite 212-d, Southaven, MS 38672-7318 | 2008-08-19 |
| 1821268236 | Whitehaven Ob-gyn, P.C. | Specialist | 60 Physicians Ln Ste 2, Southaven, MS 38671-6122 | 2008-03-03 |
| 1578775573 | Otolaryngology Associates of The Midsouth | Specialist | 975 Swinnea Ridge, Suite 1, Southaven, MS 38671 | 2007-05-04 |
| 1508972365 | Hai Van Dang | Specialist | 7640 Clarington Cv, Suite B, Southaven, MS 38671-5652 | 2006-08-22 |
| 1679588974 | Rome Sherrod II | Specialist | 835 Brandywine Dr, Suite 102, Southaven, MS 38671-2434 | 2006-07-29 |
| 1447282991 | Mukesh Jain | Specialist | 7615 Clarington Cv, Southaven, MS 38671-5647 | 2006-07-07 |
| 1073567251 | Olufemi Adeleye | Specialist | 1890 Goodman Rd E, Suite 101, Southaven, MS 38671-9504 | 2006-05-20 |
| 1588089288 | Southaven Sleep Clinic | Specialist | 7420 Guthrie Dr N, Suite 110, Southaven, MS 38671-5876 | 2014-03-04 |
| 1780810614 | Prethi Vaddadi | Specialist | 7736 Airways Blvd, Southaven, MS 38671-5306 | 2009-06-05 |
| 1104007558 | Lee Grimm, M.d., P.C. | Specialist | 7580 Clarington Cv, Suite 3, Southaven, MS 38671-5657 | 2007-11-14 |
| Find all providers in SOUTHAVEN | ||||
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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.