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WESTERN BAPTIST MEDICAL VENTURES INC. NPI 1316017080


NPI Information

NPI: 1316017080
Provider Name: WESTERN BAPTIST MEDICAL VENTURES, INC.

Doing Business As: PADUCAH NEUROSURGICAL CENTER

Classification: Neurological Surgery - 207T00000X
Entity Type: Organization
Address:
2603 KENTUCKY AVE STE 404
PADUCAH, KY
ZIP 42003
Phone: (270) 443-6472
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WESTERN BAPTIST MEDICAL VENTURES, INC. is a neurological surgery in Paducah, KY. The provider is a neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. WESTERN BAPTIST MEDICAL VENTURES, INC. NPI is 1316017080. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Paducah Neurosurgical Center.

The provider's business location address is:

2603 KENTUCKY AVE STE 404
PADUCAH, KY
ZIP 42003-830
Phone: (270) 443-6472
Fax: (270) 442-1649

The provider's authorized official is Larry Barton .
The authorized official title is Vice President and has the following contact phone number (270) 575-2139.

The enumeration date for this NPI number is 11/9/2006 and was last updated on 1/19/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LF0000XNurse PractitionerFamily4059PKENTUCKYNo
2363AS0400XPhysician AssistantSurgicalNo
3207T00000XNeurological SurgeryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
165945867MEDICAIDKENTUCKY
200211MEDICARE PINKENTUCKY
3DF7549OTHERKENTUCKYRAILROAD MEDICARE
4000000521597OTHERKENTUCKYANTHEM BCBS
57100002230MEDICAIDKENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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