Individual provider Active NPI

Danny Dale Wester Jr., PA-C

  • Medical Physician Assistant
  • Rogersville, TN
National Provider Identifier
1275890741
Registry record updated Feb 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA2048 Issued in TN
Practice address
4307 Highway 66 S
Rogersville, TN 37857-3155
Phone
(423) 921-1600
Fax
(423) 921-1675
NPI assigned
Apr 20, 2012
Last updated
Feb 28, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA2048 TN Primary

Addresses

Primary practice location

4307 Highway 66 S
Rogersville, TN 37857-3155

Mailing address

PO Box 850
Rogersville, TN 37857-0850
Phone (423) 272-5600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120619000578 TN Practitioner - Physician Assistant 9638333883 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Lincoln Memorial University Medical Department, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4307 Hwy 68 S
Rogersville, TN 37857-3155
Phone (423) 921-1300

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Healthstar Physicians, P.C. CurrentSince Jun 1, 2018 Accepting new patients
Rural Health Services Consortium of Upper East Tennessee Inc Current Accepting new patients
Rural Health Services Consortium of Upper East Tennessee Inc Past Accepting new patients
Healthstar Physicians PC Past Accepting new patients

Locations

1907 W Morris Blvd
Ste G
Morristown, TN 37813
Phone (423) 318-0014

420 W Morris Blvd
Ste 400C
Morristown, TN 37813
Phone (423) 586-0443

5741 W Andrew Johnson Hwy
Morristown, TN 37814
Phone (423) 585-0686

222 Oak St
Mountain City, TN 37683
Phone (423) 727-6319

4307 Highway 66 S
Rogersville, TN 37857
Phone (423) 921-1600

4966 Highway 11W
Rogersville, TN 37857
Phone (423) 272-5600

Organizations & group practices 5

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.

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": "1334880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393545600000",
    "number": "1275890741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 850",
            "city": "ROGERSVILLE",
            "state": "TN",
            "postal_code": "378570850",
            "telephone_number": "423-272-5600",
            "fax_number": "423-272-1428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4307 HIGHWAY 66 S",
            "city": "ROGERSVILLE",
            "state": "TN",
            "postal_code": "378573155",
            "telephone_number": "423-921-1600",
            "fax_number": "423-921-1675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESTER",
        "first_name": "DANNY",
        "middle_name": "DALE",
        "name_suffix": "Jr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-20",
        "last_updated": "2014-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "PA2048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogersville, TN

Sources for this page

Verify at the official NPI Registry.