WEST CLINIC, PC (NPI# 1447276605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447276605 |
| Entity Type | Organization |
| Organization Name | WEST CLINIC, PC |
| Practice Address |
7945 Wolf River Blvd Germantown TN 38138-1762 |
| Mailing Address |
7714 Poplar Avenue Suite 200 Germantown TN 38138-3941 |
| Practice Telephone | 9016830055 |
| Practice Fax Number | 9016852969 |
| Mailing Telephone | 9016830055 |
| Mailing Fax Number | 9013222955 |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2020-07-29 |
| Authorized Official Name | MR. JOHN M. GRAVES (CEO) |
| 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 |
|---|---|---|---|
| MS | 09013755 | 05 | |
| AR | 217965002 | 05 | |
| MO | 500557509 | 05 | |
| TN | BCBS TN | 0106442 | 01 |
| TN | 3704066 | 05 | |
| AR | AR BCBS | 8P003 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407084668 | West Clinic, PC | Internal Medicine | 1790 Hospital Drive, Clarksdale, MS 38614-7202 | 2009-06-26 |
| 1801071451 | West Clinic, PC | Radiology | 55 Humphreys Ctr, Suite 100, Memphis, TN 38120-2374 | 2008-01-02 |
| 1134357122 | West Clinic, PC | Specialist | 201 Lakeview Rd, Suite A, Somerville, TN 38068-9742 | 2009-06-29 |
| 1194998856 | West Clinic, PC | Specialist | 2996 Kate Bond Rd, Suite 303, Memphis, TN 38133-4030 | 2008-04-02 |
| 1902081557 | West Clinic, PC | Radiology | 7601 Southcrest Pkwy, Southaven, MS 38671-4739 | 2008-01-02 |
| 1396765608 | West Clinic, PC | Psychologist | 100 N Humphreys Blvd, Memphis, TN 38120-2146 | 2006-07-20 |
| Street Address |
7945 WOLF RIVER BLVD |
| City | GERMANTOWN |
| State | TN |
| Zip Code | 38138-1762 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548268592 | Suhail M Obaji | Internal Medicine | 7945 Wolf River Blvd, Germantown, TN 38138-1762 | 2005-07-13 |
| 1851907703 | Christen Ann Coleman | Nurse Practitioner | 7945 Wolf River Blvd, Germantown, TN 38138-1762 | 2020-09-16 |
| 1861001794 | Stephanie Ham | Nurse Practitioner | 7945 Wolf River Blvd, Germantown, TN 38138-1762 | 2020-07-27 |
| 1760037287 | Michael Robert Seitz | Registered Nurse | 7945 Wolf River Blvd, Germantown, TN 38138-1762 | 2019-08-02 |
| 1134785769 | Tiffany Sophia Bennett | Nurse Practitioner | 7945 Wolf River Blvd, Germantown, TN 38138-1762 | 2019-05-20 |
| 1962068833 | Laura Leigh Smith | Occupational Therapist | 7945 Wolf River Blvd, Germantown, TN 38138-1762 | 2019-05-15 |
| 1649733502 | Tiffany Hunt Kinard | Nurse Practitioner | 7945 Wolf River Blvd, Germantown, TN 38138-1762 | 2019-04-08 |
| 1669933461 | Ellen Wills | Nurse Practitioner | 7945 Wolf River Blvd, Germantown, TN 38138-1762 | 2019-03-26 |
| 1144781022 | Courtney Renae Susser | Nurse Practitioner | 7945 Wolf River Blvd, Germantown, TN 38138-1762 | 2019-03-25 |
| 1063978948 | Kathryn Wright | Registered Nurse | 7945 Wolf River Blvd, Germantown, TN 38138-1762 | 2019-02-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790382281 | Bluff Medical Group | Nurse Practitioner | 1779 Kirby Parkway, Suite 1-212, Germantown, TN 38138 | 2020-10-07 |
| 1689293797 | Diana Bryn Manning | Dietitian, Registered | 7705 Poplar Ave., Medical Office B, Suite 150, Germantown, TN 38138 | 2020-04-09 |
| 1386102796 | Moscow Group LLC | Pharmacy | 2013 Exeter Rd, Germantown, TN 38138 | 2019-03-05 |
| 1952811010 | Select | Counselor | 9045 Forest Centre Dr Ste 102, Germantown, TN 38138 | 2017-10-03 |
| 1033638994 | 901 Physical Therapy, Pllc | Physical Therapist | 2495 Regents Walk, Germantown, TN 38138 | 2017-09-12 |
| 1124552401 | Elite Dental Germantown Plc | Dentist | 9064 Corporate Gradens Drive, Germantown, TN 38138 | 2017-04-13 |
| 1740728880 | Christian C Haynes | Nurse Anesthetist, Certified Registered | 1900 Exeter Rd., Suite 210, Germantown, TN 38138 | 2017-02-09 |
| 1740644004 | Kimberly Brooke Scheidegger | Counselor | 9045 Forest Centre Way, Heartlife Professional Soul Care, Germantown, TN 38138 | 2016-04-12 |
| 1427411644 | Jimmy Tam Tran | Internal Medicine | 7550 Wolf River Blvd., Ste. 102, Germantown, TN 38138 | 2016-04-04 |
| 1952761876 | Jane Chin Wynn Yeoh | Orthopaedic Surgery | 1400 South Germantown Road, Germantown, TN 38138 | 2016-03-04 |
| Find all providers in zip 38138 | ||||
| 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 |
|---|---|---|---|---|
| 1922538164 | Tracey Hardaway | Specialist | 8596 Farmington Blvd Ste 4, Germantown, TN 38139-3345 | 2017-06-19 |
| 1134537061 | Shot Nurse-memphis, P.C. | Specialist | 7596 W Farmington Blvd, Germantown, TN 38138-2809 | 2014-07-23 |
| 1528354883 | Yongxin Chen | Specialist | 8000 Wolf River Blvd., Ste. 200, Germantown, TN 38138 | 2011-06-24 |
| 1225338734 | Lynnette Ellen Hafken | Specialist | 20701 Spinning Wheel Pl, Germantown, MD 20874-2814 | 2010-10-31 |
| 1457580508 | Rheumatology Specialty Clinic Pllc | Specialist | 7660 Poplar Pike, Germantown, TN 38138-5941 | 2009-07-10 |
| 1467630723 | Allergy and Asthma Specialists of Memphis, PC | Specialist | 2006 Exeter Rd, Germantown, TN 38138-3945 | 2008-02-08 |
| 1023216470 | John Robert Vincent | Specialist | 8573 Cordes Cir, Germantown, TN 38139-3317 | 2007-07-06 |
| 1881895480 | Gerald W. Bock | Specialist | 8573 Cordes Circle, Germantown, TN 38139 | 2007-05-30 |
| 1093836769 | Advanced Women's Care | Specialist | 19514 Doctors Dr, Germantown, MD 20874-5200 | 2007-04-02 |
| 1619010428 | Ronald Jackson Johnson | Specialist | 7910 Wolf River Blvd, Germantown, TN 38138-1725 | 2007-02-14 |
| Find all providers in GERMANTOWN | ||||
| City | GERMANTOWN |
| Zip Code | 38138 |
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.