Individual provider Active NPI

Ethan Westbrook, DO

  • Internal Medicine Physician
  • Parkersburg, WV
National Provider Identifier
1124514054
Registry record updated Oct 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
3581 Issued in WV
Practice address
800 Garfield Ave RM G102
Parkersburg, WV 26101-5340
Phone
(304) 424-4575
Fax
(304) 424-4577
NPI assigned
Jul 3, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 3581 WV
Internal Medicine Physician 207R00000X 3581 WV Primary

Addresses

Primary practice location

800 Garfield Ave RM G102
Parkersburg, WV 26101-5340

Mailing address

800 Garfield Ave RM G102
Parkersburg, WV 26101-5340
Phone (304) 424-4575

Other practice location 1

122 Pinnell St
Ripley, WV 25271-9101
Phone (304) 372-2731

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210813002928 WV Practitioner - Emergency Medicine 2860741345 Reassigns benefits to 11 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
William Carey University College of Osteopathic Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospital Development Co.Group PAC ID 4183527476, shared by 9 NPIs, 65 clinicians

Practice addresses (Care Compare)

200 Hospital Dr
Spencer, WV 25276-1050
Phone (304) 927-4444

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
3581WVMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
West Virginia Health Care Cooperative Inc CurrentSince Apr 1, 2024 Accepting new patients
Princeton Community Hospital Assn Inc. CurrentSince May 20, 2024 Accepting new patients
Hospital Development Co Current Accepting new patients
Braxton County Memorial Hospital CurrentSince Apr 1, 2024 Accepting new patients
Hospital Development Co Emergency Medicine CurrentSince Jan 1, 2022 Accepting new patients
Health Care Alliance, Inc. Emergency Medicine CurrentSince Jul 1, 2021 Accepting new patients
Hospital Development Co CurrentSince Jan 27, 2026 Accepting new patients
Hospital Development Co Current Accepting new patients
Princeton Community Hospital Assn., Inc CurrentSince May 20, 2024 Accepting new patients
Community Health Association CurrentSince May 27, 2022 Accepting new patients
West Virginia Health Care Cooperative Inc Current Accepting new patients
Community Health Association CurrentSince May 27, 2022 Accepting new patients
Hospital Development Co CurrentSince Jan 1, 2022 Accepting new patients
Braxton County Memorial Hospital CurrentSince Apr 1, 2024 Accepting new patients
Community Health Association Past Accepting new patients
Camden-Clark Physician Corporation Past Accepting new patients
Camden Clark Memorial Hospital Corporation Past Accepting new patients
Hospital Development Co Past Accepting new patients

Locations

401 E Vermillion St
Athens, WV 24712
Phone (304) 384-7325

1710 Harper Rd
Beckley, WV 25801
Phone (304) 252-0641

100 Hoylman Dr
Gassaway, WV 26624
Phone (304) 364-1046

20 Hospital Dr
Logan, WV 25601
Phone (304) 792-1101

800 Garfield Ave
Parkersburg, WV 26101
Phone (304) 420-7161

800 Garfield Ave
Rm G102
Parkersburg, WV 26101
Phone (304) 424-4575

122 12th St
Princeton, WV 24740
Phone (304) 487-7061

122 Pinnell St
Ripley, WV 25271
Phone (304) 373-1544

200 Hospital Dr
Spencer, WV 25276
Phone (304) 927-4444

400 Fairview Heights Rd
Summersville, WV 26651
Phone (304) 872-2891

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 3

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": "1530576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666224000000",
    "number": "1124514054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 GARFIELD AVE RM G102",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261015340",
            "telephone_number": "304-424-4575",
            "fax_number": "304-424-4577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 GARFIELD AVE RM G102",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261015340",
            "telephone_number": "304-424-4575",
            "fax_number": "304-424-4577"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "122 Pinnell St",
            "address_purpose": "LOCATION",
            "city": "Ripley",
            "state": "WV",
            "postal_code": "252719101",
            "country_code": "US",
            "telephone_number": "304-372-2731",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WESTBROOK",
        "first_name": "ETHAN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-03",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WV",
            "license": "3581",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "3581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkersburg, WV

Sources for this page

Verify at the official NPI Registry.