WESTERN BAPTIST MEDICAL VENTURES INC NPI 1356687479

NPI Information

NPI: 1356687479
Provider Name: WESTERN BAPTIST MEDICAL VENTURES INC

Doing Business As: BAPTIST HEART GROUP

Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
2601 KENTUCKY AVE
SUITE 301
PADUCAH, KY
ZIP 42003
Phone: (270) 575-3113
Get Directions

WESTERN BAPTIST MEDICAL VENTURES INC is a cardiovascular disease internal medicine in Paducah, KY. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. WESTERN BAPTIST MEDICAL VENTURES INC NPI is 1356687479. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Baptist Heart Group.

The provider's business location address is:

2601 KENTUCKY AVE
SUITE 301
PADUCAH, KY
ZIP 42003-817
Phone: (270) 575-3113
Fax: (270) 575-3588

The provider's authorized official is Patricia K Harrod .
The authorized official title is Director Of Physician Integration and has the following contact phone number (270) 575-8362.

The enumeration date for this NPI number is 12/18/2012 and was last updated on 4/25/2013.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363A00000X	Physician Assistant		PA1037	KENTUCKY	No
2	207RC0000X	Internal Medicine	Cardiovascular Disease	26428	KENTUCKY	No
3	207RC0000X	Internal Medicine	Cardiovascular Disease	27146	KENTUCKY	No
4	207RC0000X	Internal Medicine	Cardiovascular Disease	43907	KENTUCKY	No
5	207RC0000X	Internal Medicine	Cardiovascular Disease	44104	KENTUCKY	No
6	207RI0011X	Internal Medicine	Interventional Cardiology	19484		No
7	207RI0011X	Internal Medicine	Interventional Cardiology	27146	KENTUCKY	No
8	207UN0901X	Nuclear Medicine	Nuclear Cardiology	43907	KENTUCKY	No
9	363AM0700X	Physician Assistant	Medical	PA1145	KENTUCKY	No
10	363AM0700X	Physician Assistant	Medical	PA1602	KENTUCKY	No
11	363AM0700X	Physician Assistant	Medical	PA1037	KENTUCKY	No
12	363LA2100X	Nurse Practitioner	Acute Care	3004694	KENTUCKY	No
13	363LA2100X	Nurse Practitioner	Acute Care	3005812	KENTUCKY	No
14	364SA2200X	Clinical Nurse Specialist	Adult Health	3006573	KENTUCKY	No
15	207RC0000X	Internal Medicine	Cardiovascular Disease	19484	KENTUCKY	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00211	MEDICARE PIN	KENTUCKY

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: 11/14/2023

NPI Synchronization or Removal

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