WEST CLINIC PC (NPI# 1023180478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023180478 |
| Entity Type | Organization |
| Organization Name | WEST CLINIC PC |
| Practice Address |
1500 W Poplar Ave Suite 304 Collierville TN 38017-0601 |
| Mailing Address |
100 N Humphreys Blvd Memphis TN 38120-2146 |
| Practice Telephone | 9018501456 |
| Practice Fax Number | 9018505830 |
| 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 |
|---|---|---|---|
| AR | 132175002 | 05 | |
| TN | 3704066 | 05 | |
| TN | BCBS TN | 0106442 | 01 |
| MO | 500557509 | 05 | |
| MS | 09013755 | 05 | |
| AR | BCBS AR | 8P003 | 01 |
| 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 |
| 1992877369 | West Clinic PC | Specialist | 7668 Airways Blvd, Southaven, MS 38671-5304 | 2006-11-14 |
| Street Address |
1500 W POPLAR AVE SUITE 304 |
| City | COLLIERVILLE |
| State | TN |
| Zip Code | 38017-0601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578569034 | Joy C Burbeck | Internal Medicine | 1500 W Poplar Ave, Ste 206, Collierville, TN 38017-0601 | 2005-06-21 |
| 1669794574 | Collierville Family Medicine PC | Family Medicine | 1500 W Poplar Ave, Suite 310, Collierville, TN 38017-0601 | 2010-02-18 |
| 1417117433 | Southern Spine Specialists, Pllc | Orthopaedic Surgery | 1500 W Poplar Ave, Suite 201, Collierville, TN 38017-0601 | 2008-06-12 |
| 1972761302 | Tommy C. Thompson,m.d. | Urology | 1500 W Poplar Ave, Suite 309, Collierville, TN 38017-0601 | 2008-06-02 |
| 1881870368 | Baptist Memorial Medical Group Inc | Family Medicine | 1500 W Poplar Ave, Suite 308, Collierville, TN 38017-0601 | 2008-01-15 |
| 1174705156 | Baptist Memorial Medical Group Inc | Surgery | 1500 W Poplar Ave, Suite 308, Collierville, TN 38017-0601 | 2007-11-30 |
| 1912197252 | Bharat R Patel | Respiratory Therapist, Registered | 1500 W Poplar Ave, Collierville, TN 38017-0601 | 2007-08-01 |
| 1285835645 | Lynda Pelot Mcallister | Physical Therapist | 1500 W Poplar Ave, Collierville, TN 38017-0601 | 2007-05-31 |
| 1912126889 | Deanne Elisabeth Hettinger | Occupational Therapist | 1500 W Poplar Ave, Collierville, TN 38017-0601 | 2007-04-25 |
| 1821216300 | Sean Ichael Oconnell | Physical Therapist | 1500 W Poplar Ave, Collierville, TN 38017-0601 | 2007-04-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144827338 | George Nathan Freeman IIi | Chiropractor | 2028 W. Poplar, Suite 105, Collierville, TN 38017 | 2020-10-01 |
| 1104440171 | Cecelia Hunt | Social Worker | 2555 Halle Parkwsy, Collierville, TN 38017 | 2020-06-04 |
| 1053803403 | Sarah Harris | Physical Therapist | 605 Heather Lake Cv, Collierville, TN 38017 | 2018-06-01 |
| 1023507811 | Sandra P Morris | Pharmacist | 560 West Poplar, Collierville, TN 38017 | 2018-05-07 |
| 1043751159 | Rahim Panjwani | Physical Therapist | 2028 W. Poplar Ave, Collierville, TN 38017 | 2017-03-09 |
| 1104273234 | The Branch House | Counselor | 562 Center St, Collierville, TN 38017 | 2016-05-18 |
| 1760840052 | Amodeo Chiropractic Center Inc | Chiropractor | 161 Hwy 72 East, Collierville, TN 38017 | 2016-02-02 |
| 1235520628 | Bonnie Morales | Nurse Practitioner | 472 W. Poplar Ave, Collierville, TN 38017 | 2015-02-06 |
| 1841616513 | First Choice Transportation | Non-emergency Medical Transport (VAN) | 336 E. Valleywood Drive, Collierville, TN 38017 | 2014-03-05 |
| 1821424276 | Shana Cole Cannon | Licensed Practical Nurse | 777 W. Poplar Ave., Suite 104, Collierville, TN 38017 | 2013-09-17 |
| Find all providers in zip 38017 | ||||
| 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 |
|---|---|---|---|---|
| 1245383652 | Stephanie Yau Cline | Specialist | 569 W Poplar Ave, Collierville, TN 38017-2537 | 2007-01-19 |
| 1881619989 | Carol Ingram Lynn | Specialist | 2028 W Poplar Ave Ste 110, Collierville, TN 38017-0618 | 2006-07-12 |
| 1275507618 | Dwayne D Findley | Specialist | 126 Hwy 72, Collierville, TN 38017 | 2006-02-14 |
| 1891791349 | Robert William Schriner | Specialist | 1500 W. Poplar Ave., Suite 206, Collierville, TN 38017 | 2005-06-21 |
| 1588668057 | April Charpentier Sanchez | Specialist | 1700 Stillwind Ln, Collierville, TN 38017-3695 | 2005-06-11 |
| 1891216107 | Top Flight Medical | Specialist | 1500 W Poplar Ave Ste 304, Collierville, TN 38017-0601 | 2017-06-28 |
| 1184909384 | Integrity Oncology Foundation, Inc. | Specialist | 1936 W Poplar Ave, Collierville, TN 38017-0605 | 2011-10-19 |
| 1649595703 | Mosaic Pathology Consultants, Pllc | Specialist | 1318 Marsh Creek Ln, Collierville, TN 38017-3940 | 2010-04-01 |
| 1699009290 | Integrity Oncology, Pllc | Specialist | 1936 W Poplar Ave, Collierville, TN 38017-0605 | 2009-09-29 |
| 1750514410 | Integrity Oncology, Pllc | Specialist | 400 Market Blvd, Suite 115, Collierville, TN 38017-6516 | 2009-08-28 |
| Find all providers in COLLIERVILLE | ||||
| City | COLLIERVILLE |
| Zip Code | 38017 |
Please comment or provide details below to improve the information on WEST CLINIC PC.
| 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.