Individual provider Active NPI

Michael Robert West, PA-C

  • Medical Physician Assistant
  • Springfield, PA
National Provider Identifier
1023520475
Registry record updated Feb 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
OA004386 Issued in PA
Practice address
417 Baltimore Pike
Springfield, PA 19064-3810
Phone
(484) 470-2600
NPI assigned
Oct 25, 2017
Last updated
Feb 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X C5-0011688 DE
Medical Physician Assistant 363AM0700X OA004386 PA Primary
Interventional Cardiology Physician 207RI0011X MA059492 PA

Addresses

Primary practice location

417 Baltimore Pike
Springfield, PA 19064-3810

Mailing address

5000 Cox Rd
Glen Allen, VA 23060-9263
Phone (804) 822-4355

Other practice location 1

207 N Broad St
Philadelphia, PA 19107-1500
Phone (215) 463-5333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, DE2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20171201000147 PA Practitioner - Physician Assistant 4688931587 Reassigns benefits to 4 organizations
I20220224002562 DE Practitioner - Physician Assistant 4688931587 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lehigh Valley Physician GroupGroup PAC ID 3072425123, 2,512 clinicians

Practice addresses (Care Compare)

1107 Grosser Rd
Suite 205 LVPG Family Medicine Gilbertsvil
Gilbertsville, PA 19525-9228
Phone (484) 498-6215

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Physician Group CurrentSince Jan 23, 2023 Accepting new patients
Schuylkill Health System Medical Group, Inc. CurrentSince Sep 12, 2023 Accepting new patients
Patient First Pennsylvania Medical Group PLLC CurrentSince Mar 16, 2020 Accepting new patients
Patient First Pennsylvania Medical Group PLLC Current Accepting new patients
Lehigh Valley Physician Group CurrentSince Jan 23, 2023 Accepting new patients
Family Care Centers Inc CurrentSince Sep 12, 2023 Accepting new patients
Patient First Pennsylvania Medical Group PLLC CurrentSince Mar 16, 2020 Accepting new patients
Family Care Centers Inc. CurrentSince Sep 12, 2023 Accepting new patients
Christiana Care Quality Partners PastSince Aug 1, 2021 Accepting new patients

Locations

500 Plaza Ct
East Stroudsburg, PA 18301
Phone (570) 426-2330

1107 Grosser Rd
Ste 205
Gilbertsville, PA 19525
Phone (484) 498-6215

5125 Jonestown Rd
Ste 105
Harrisburg, PA 17112
Phone (717) 943-1566

5649 Wynnewood Dr
Ste 104
Laurys Station, PA 18059
Phone (610) 262-6641

713 Bethlehem Pike
Montgomeryvle, PA 18936
Phone (267) 695-3944

700 Schuylkill Manor Rd
Ste 3
Pottsville, PA 17901
Phone (570) 621-4440

320 W Pumping Station Rd
Quakertown, PA 18951
Phone (215) 529-4240

417 Baltimore Pike
Springfield, PA 19064
Phone (484) 470-2600

5000 Cox Rd
Glen Allen, VA 23060
Phone (804) 822-4355

Interoperability endpoints

  • Direct secure messaging: mwest741273@direct2.lvhn.org

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1508889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645401600000",
    "number": "1023520475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 COX RD",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230609263",
            "telephone_number": "804-822-4355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 BALTIMORE PIKE",
            "city": "SPRINGFIELD",
            "state": "PA",
            "postal_code": "190643810",
            "telephone_number": "484-470-2600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "207 N Broad St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191071500",
            "country_code": "US",
            "telephone_number": "215-463-5333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEST",
        "first_name": "MICHAEL",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-25",
        "last_updated": "2022-02-21",
        "certification_date": "2022-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "DE",
            "license": "C5-0011688",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "OA004386",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "PA",
            "license": "MA059492",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, PA

Sources for this page

Verify at the official NPI Registry.