WEST CLINIC PC (NPI# 1164594081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164594081 |
| Entity Type | Organization |
| Organization Name | WEST CLINIC PC |
| Practice Address |
240 Grandview Drive Brighton TN 38011-4253 |
| Mailing Address |
100 N Humphreys Blvd Memphis TN 38120-2146 |
| Practice Telephone | 9014750678 |
| Practice Fax Number | 9014753927 |
| Mailing Telephone | 9016830055 |
| Mailing Fax Number | 9016852969 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2011-11-10 |
| Authorized Official Name | MR. RON M 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 |
|---|---|---|---|
| TN | 3704066 | 05 | |
| MS | 09013755 | 05 | |
| TN | BCBS TN | 0106442 | 01 |
| AR | 132175002 | 05 | |
| MO | 500557509 | 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 |
| 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 |
| 1023180478 | West Clinic PC | Specialist | 1500 W Poplar Ave, Suite 304, Collierville, TN 38017-0601 | 2006-11-14 |
| Street Address |
240 GRANDVIEW DRIVE |
| City | BRIGHTON |
| State | TN |
| Zip Code | 38011-4253 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558492306 | Jenipher E Chaney | Family Medicine | 1880 Old Hwy 51 Suite C, Brighton, TN 38011 | 2007-03-07 |
| 1376583096 | Charles L Porter | Pharmacist | 1880 Old Hwy 51, Brighton, TN 38011 | 2006-06-08 |
| 1679567390 | Brighton Family Medicine | Family Medicine | 1880 Old Hwy 51, Suite C, Brighton, TN 38011 | 2005-09-08 |
| 1467566885 | Brighton Medical Practice | Specialist | 39 W Woodlawn Ave, Brighton, TN 38011-4139 | 2006-08-19 |
| 1033212667 | John Raymond Hughey | Specialist | 39 W Woodlawn Ave, Brighton, TN 38011-4139 | 2006-09-07 |
| 1528364874 | Kimberly Ann Rowland | Registered Nurse | 77 Fannie Dr, Brighton, TN 38011-6287 | 2011-02-03 |
| 1316485733 | Jared Vowell | Specialist/Technologist | 751 Roseland Dr, Brighton, TN 38011-6315 | 2017-02-06 |
| 1326099045 | Charles Michael Putnam | Social Worker | 74 Sanders Dr, Brighton, TN 38011-6501 | 2006-05-15 |
| 1780929349 | Michael Dalen Jaureque | Chore Provider | 159 Hilltop Cir, Brighton, TN 38011-6628 | 2012-12-06 |
| 1770781544 | Family Practice of Covington, Inc | Family Medicine | 4235 Highway 51 South, Brighton, TN 38011-6921 | 2007-07-03 |
| Find all providers in zip 38011 | ||||
| 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 |
|---|---|---|---|---|
| 1477036812 | Andrea Odonnell | Specialist | 9795 Village Place Blvd, Sola Studio 15, Brighton, MI 48116-2087 | 2018-09-12 |
| 1104229723 | Kara Elisabeth Sullivan | Specialist | 40 Montcalm Ave Unit 1, Brighton, MA 02135 | 2014-09-28 |
| 1578994463 | Gago Ivf | Specialist | 2250 Genoa Business Park Dr Ste 110, Brighton, MI 48114-7372 | 2013-12-03 |
| 1386085322 | Trisha Conklin | Specialist | 102 Pelican Ave, Brighton, CO 80601-5314 | 2013-07-06 |
| 1992144315 | Christine Rans | Specialist | 4160 Summer Hl, Brighton, MI 48116-9777 | 2013-06-19 |
| 1891054375 | Affinity | Specialist | 1041 Lincoln Dr, Brighton, MI 48116-3793 | 2012-05-03 |
| 1750573010 | Platte Valley Internal Medicine & Pulmonary LLC | Specialist | 1606 Prairie Center Pkwy Ste 310, Brighton, CO 80601-4004 | 2007-08-10 |
| 1326142704 | Carney Medical Group | Specialist | 77 Warren Street-provider Enrollment, Brighton, MA 02135 | 2006-09-07 |
| 1467566885 | Brighton Medical Practice | Specialist | 39 W Woodlawn Ave, Brighton, TN 38011-4139 | 2006-08-19 |
| 1982646469 | Emilie S. Hitron | Specialist | 280 Washington Street, Suite 102, Brighton, MA 02135 | 2006-06-11 |
| Find all providers in BRIGHTON | ||||
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.