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WESTERN BAPTIST MEDICAL VENTURES INC NPI 1750729133


NPI Information

NPI: 1750729133
Provider Name: WESTERN BAPTIST MEDICAL VENTURES INC

Doing Business As: BAPTIST HEALTH CANCER CARE & BLOOD DISORDERS

Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

CLIA Number: 18D0325441

Address:
100 KIANA CT
PADUCAH, KY
ZIP 42001
Phone: (270) 554-0011
Get Directions

WESTERN BAPTIST MEDICAL VENTURES INC is a hematology and oncology internal medicine in Paducah, KY. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. WESTERN BAPTIST MEDICAL VENTURES INC NPI is 1750729133. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Baptist Health Cancer Care & Blood Disorders.

The provider's business location address is:

100 KIANA CT
PADUCAH, KY
ZIP 42001-787
Phone: (270) 554-0011
Fax: (270) 554-6540

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 CLIA number assigned to this NPI record is 18D0325441 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/7/2013 and was last updated on 11/15/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LF0000XNurse PractitionerFamily3004564KENTUCKYNo
2207RH0003XInternal MedicineHematology & Oncology17391KENTUCKYYes

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
100211MEDICARE PINKENTUCKY

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

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