Edmund A P West, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

015603 Issued in CT

Practice address

56 Whitehall Ave
RT 27
Mystic, CT 06355

Phone

(860) 572-8282

Fax

(860) 572-7445

NPI assigned

Jul 14, 2006

Last updated

Apr 30, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/10489/brand/1/csg/1/fhir/r4

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.

• The Westerly Hospital

  • General Acute Care Hospital
  • Westerly, RI
  • NPI 1033188651
  NPD (past)
• Westerly Hospital Cardiology Department

  • General Acute Care Hospital
  • Westerly, RI
  • NPI 1629184486
  NPD (past)

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430352000000",
    "number": "1154347250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 WHITEHALL AVE",
            "address_2": "RT 27",
            "city": "MYSTIC",
            "state": "CT",
            "postal_code": "06355",
            "telephone_number": "860-572-8282",
            "fax_number": "860-572-7445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 WHITEHALL AVE",
            "address_2": "RT 27",
            "city": "MYSTIC",
            "state": "CT",
            "postal_code": "06355",
            "telephone_number": "860-572-8282",
            "fax_number": "860-572-7445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEST",
        "first_name": "EDMUND",
        "middle_name": "A P",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2015-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "015603",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CTBC",
            "identifier": "010015603CT02",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RI MC NUMBER",
            "identifier": "119004722",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RIBC",
            "identifier": "47229",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cheryl A Walker, APRN
• Jeremy David Wano, D.M.D
• James Paul Watts, DMD
• Neal Weisbrod
• Jennifer Louise Welch, D.C.
• John Robert West Jr., M.D.
• Laura Ann White, OTRL
• Miriam Wholean, MSW, LCSW
• Wholeness Insight Psychotherapy LLC
• Shaina Dawn Wilkinson, MSW, LMSW,LCSW

• Internal Medicine Physician in Mystic, CT
• Providers in Mystic, CT by specialty
• Internal Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2015; 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.