McKenzie Ann West

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

2936 Issued in SC

Practice address

306 Station 22 1/2 St
Sullivans Island, SC 29482

Phone

(843) 883-3176

NPI assigned

May 31, 2018

Last updated

Jul 9, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• East Cooper Physician Network, LLC

  • Family Medicine Physician
  • Mount Pleasant, SC
  • NPI 1871016683
  NPD (past)

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

{
    "created_epoch": "1527724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531094400000",
    "number": "1043702624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 ORANGE GROVE RD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294073956",
            "telephone_number": "404-545-2616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 STATION 22 1/2 ST",
            "city": "SULLIVANS ISLAND",
            "state": "SC",
            "postal_code": "29482",
            "telephone_number": "843-883-3176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEST",
        "first_name": "MCKENZIE",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-31",
        "last_updated": "2018-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "2936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roper Saint Francis Physicians Network (RoperSt.Francis Physicians Partners Primary Care-Durst Family Medicine)
• Rochelle C Rutledge, M.D.
• Darragh Miller Simon, LMT
• Sports Plus
• Danielle Stunzi, FDNP
• Jacklyn Pearson Wurthmann, PA-C

• Physician Assistant in Sullivans Island, SC
• Providers in Sullivans Island, SC by specialty
• Physician Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.