Active NPI
Douglas Wayne West Jr., P.T.A.
- Specialist
- Camden, AR
National Provider Identifier
1194272674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 2720
- Practice address
- 1523 Highway 7 N
Camden, AR 71701-8711 - Phone
- (870) 818-6120
- NPI assigned
- Sep 1, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 2100493 | AR | |
| Specialist | 174400000X | 2720 | AR | Primary |
Addresses
Primary practice location
1523 Highway 7 N
Camden, AR 71701-8711
Mailing address
1523 Highway 7 N
Camden, AR 71701-8711
Phone (870) 818-6120
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2100493 | AR | MD | Specialist |
| 2720 | AR | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472688000000",
"number": "1194272674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1523 HIGHWAY 7 N",
"city": "CAMDEN",
"state": "AR",
"postal_code": "717018711",
"telephone_number": "870-818-6120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1523 HIGHWAY 7 N",
"city": "CAMDEN",
"state": "AR",
"postal_code": "717018711",
"telephone_number": "870-818-6120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEST",
"first_name": "DOUGLAS",
"middle_name": "WAYNE",
"name_suffix": "Jr.",
"credential": "P.T.A.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-09-01",
"last_updated": "2016-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "AR",
"license": "2100493",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "AR",
"license": "2720",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Camden, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.