Active NPI
John Reid West Sr., M.D.
- Orthopaedic Surgery Physician
- Poulsbo, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- MD60694527
- Practice address
- 20696 Bond Rd NE Ste 205
Poulsbo, WA 98370-9025 - Phone
- (360) 930-0222
- Fax
- (360) 210-1429
- NPI assigned
- Jul 4, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | MD60694527 | WA | |
| Orthopaedic Surgery Physician | 207X00000X | MD60694527 | WA | Primary |
Addresses
Primary practice location
20696 Bond Rd NE Ste 205
Poulsbo, WA 98370-9025
Mailing address
20696 Bond Rd NE Ste 205
Poulsbo, WA 98370-9025
Phone (360) 930-0222
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2169137 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Wright State University Boonshoft School of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1800 NW Myhre Rd
Silverdale, WA 98383-7663
Phone (360) 744-8800
20696 Bond Rd NE
Poulsbo, WA 98370-9025
Phone (360) 930-0222
Hospital & facility affiliations
- St Michael Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 1-10 |
| Knee replacement | 50 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 30 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD60694527 | WA | MD | Sports Medicine (Orthopaedic Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Liberty Orthopedics PS | Sports Medicine | Current | Accepting new patients |
| Commonspirit Washington Community Care | Past | Accepting new patients |
Locations
20696 Bond Rd NE
Ste 205
Poulsbo, WA 98370
Phone (360) 930-0222
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Poulsbo, WA
- NPI 1639771348
-
- General Acute Care Hospital
- Silverdale, WA
- NPI 1518912609
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Silverdale, WA
- NPI 1518912609
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611014400000",
"number": "1043473598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20696 BOND RD NE STE 205",
"city": "POULSBO",
"state": "WA",
"postal_code": "983709025",
"telephone_number": "360-930-0222",
"fax_number": "360-210-1429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20696 BOND RD NE STE 205",
"city": "POULSBO",
"state": "WA",
"postal_code": "983709025",
"telephone_number": "360-930-0222",
"fax_number": "360-210-1429"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEST",
"first_name": "JOHN",
"middle_name": "REID",
"name_prefix": "Dr.",
"name_suffix": "Sr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-04",
"last_updated": "2021-01-19",
"certification_date": "2021-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "WA",
"license": "MD60694527",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "WA",
"license": "MD60694527",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2169137",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Poulsbo, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.