Individual provider Active NPI

West Livaudais Jr., MD

  • Trauma Surgery Physician
  • Salem, OR
National Provider Identifier
1194828533
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Trauma Surgery PhysicianTaxonomy code 2086S0127X
License
12731 Issued in OR
Practice address
Salem Hospital
665 Winter Street SE
Salem, OR 97309-5014
Phone
(503) 561-2448
Fax
(503) 561-4759
NPI assigned
Sep 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Trauma Surgery Physician 2086S0127X 12731 OR Primary

Addresses

Primary practice location

Salem Hospital
665 Winter Street SE
Salem, OR 97309-5014

Mailing address

8899 Champoeg Rd NE
Saint Paul, OR 97137-9746
Phone (503) 678-6088

Other identifiers 1

IdentifierTypeStateIssuer
1087394MedicaidOR

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)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194828533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8899 CHAMPOEG RD NE",
            "city": "SAINT PAUL",
            "state": "OR",
            "postal_code": "971379746",
            "telephone_number": "503-678-6088",
            "fax_number": "503-678-6087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SALEM HOSPITAL",
            "address_2": "665 WINTER STREET SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973095014",
            "telephone_number": "503-561-2448",
            "fax_number": "503-561-4759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIVAUDAIS",
        "first_name": "WEST",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "OR",
            "license": "12731",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1087394",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.