NPIMap

Organization Active NPI

Henry M West MD PLLC

Doing business as Deerfield Family Practice

  • Primary Care Clinic/Center
  • Versailles, KY
National Provider Identifier
1265693758
Registry record updated Jul 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
20583 Issued in KY
Legal business name
HENRY M WEST MD PLLC
Doing business as
Deerfield Family Practice
Practice address
290 Lexington St
Versailles, KY 40383-1240
Phone
(859) 879-3115
Fax
(859) 879-3818
NPI assigned
Jun 18, 2008
Last updated
Jul 21, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2008

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

Authorized official

Name
Dr. Henry Martin West, MDNPI 1457419665
Title
Owner
Phone
(859) 879-3115

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 20583 KY Primary

Addresses

Primary practice location

290 Lexington St
Versailles, KY 40383-1240

Mailing address

290 Lexington St
P.O.Box 846
Versailles, KY 40383-1240
Phone (859) 879-3115

Other identifiers 1

IdentifierTypeStateIssuer
000000323903OtherKYANTHEM

Other names 1

  • DEERFIELD FAMILY PRACTICE Doing business as

National Provider Directory

National Provider Directory

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": "1213747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216598400000",
    "number": "1265693758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 LEXINGTON ST",
            "address_2": "P.O.BOX 846",
            "city": "VERSAILLES",
            "state": "KY",
            "postal_code": "403831240",
            "telephone_number": "859-879-3115",
            "fax_number": "859-879-3818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 LEXINGTON ST",
            "city": "VERSAILLES",
            "state": "KY",
            "postal_code": "403831240",
            "telephone_number": "859-879-3115",
            "fax_number": "859-879-3818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY M WEST MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-18",
        "last_updated": "2008-07-21",
        "status": "A",
        "authorized_official_last_name": "WEST",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-879-3115",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "KY",
            "license": "20583",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000323903",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DEERFIELD FAMILY PRACTICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Versailles, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2008; 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.