WESTLAKE PRIMARY CARE OF RUSSELL COUNTY MEDICAL GROUP – NPI #1023280518
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Health Care Provider Taxonomy Code for Radiology

WESTLAKE PRIMARY CARE OF RUSSELL COUNTY MEDICAL GROUP is a radiologist located in RUSSELL SPRINGS, KY. NPPES has assigned the NPI number 1023280518 to WESTLAKE PRIMARY CARE OF RUSSELL COUNTY MEDICAL GROUP on March 25, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for WESTLAKE PRIMARY CARE OF RUSSELL COUNTY MEDICAL GROUP below.

NPI Profile for
WESTLAKE PRIMARY CARE OF RUSSELL COUNTY MEDICAL GROUP

NPI Number
1023280518
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
WESTLAKE PRIMARY CARE OF RUSSELL COUNTY MEDICAL GROUP
Primary location
2465 LAKEWAY DRIVE
RUSSELL SPRINGS, KY 42642
Phone: (270) 858-3636 Fax: (270) 858-3660
Mailing address
Same as primary location
Organization Subpart
Yes - WESTLAKE PRIMARY CARE OF RUSSELL COUNTY MEDICAL GROUP is subpart of another organization.
Authorized Official
REX TUNGATE
CEO, ADMINISTRATOR
Phone: (270) 384-4753
Updated
Identifiers

Identifiers for WESTLAKE PRIMARY CARE OF RUSSELL COUNTY MEDICAL GROUP

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDKY6592976200
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0202X
- Radiology / Diagnostic Radiology (Primary)		 KY 28235

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.