Organization Active NPI

Whitney West M.D. P.C.

  • Gynecology Physician
  • Madison, AL
National Provider Identifier
1083471742
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
Legal business name
WHITNEY WEST M.D. P.C.
Practice address
550 Sun Temple Dr
Madison, AL 35758-8851
Phone
(860) 337-9378
Fax
(205) 564-0552
NPI assigned
Feb 29, 2024
Last updated
Jun 17, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2024

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

Authorized official

Name
Key Common
Title
Administration
Phone
(256) 417-7667

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X NU Primary

Addresses

Primary practice location

550 Sun Temple Dr
Madison, AL 35758-8851

Mailing address

4100 Market St Ste 100
Huntsville, AL 35808-3007
Phone (860) 337-9378

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240506000770 AL Part B Supplier - Clinic/Group Practice 6204276496 Receives reassigned benefits from 1 practitioner
Practice locations: Madison, AL

National Provider Directory

National Provider Directory

Locations

550 Sun Temple Dr
Madison, AL 35758
Phone (256) 213-1800

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1709164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718582400000",
    "number": "1083471742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 MARKET ST STE 100",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358083007",
            "telephone_number": "860-337-9378",
            "fax_number": "205-564-0552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 SUN TEMPLE DR",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357588851",
            "telephone_number": "860-337-9378",
            "fax_number": "205-564-0552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITNEY WEST M.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-29",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A",
        "authorized_official_last_name": "COMMON",
        "authorized_official_first_name": "KEY",
        "authorized_official_title_or_position": "ADMINISTRATION",
        "authorized_official_telephone_number": "256-417-7667"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.