NPIMap

Organization Active NPI

Westin Clinic, P.C.

  • Neurology Physician
  • Morristown, TN
National Provider Identifier
1285629782
Registry record updated Mar 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
WESTIN CLINIC, P.C.
Practice address
709 McFarland St
Morristown, TN 37814-3977
Phone
(423) 587-2596
Fax
(423) 585-0223
NPI assigned
Sep 12, 2005
Last updated
Mar 19, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2008

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

Authorized official

Name
Ivan Cosme Perez, M.D.NPI 1750580452
Title
President
Phone
(423) 587-2596

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
Neurology Physician 2084N0400X Primary

Addresses

Primary practice location

709 McFarland St
Morristown, TN 37814-3977

Mailing address

709 McFarland St
Morristown, TN 37814-3977
Phone (423) 587-2596

Other identifiers 1

IdentifierTypeStateIssuer
4155338OtherTNBCBST

Other names 1

  • Ivan C. Perez, M.D. Former legal business name

National Provider Directory

National Provider Directory

Locations

701 McFarland St
Morristown, TN 37814
Phone (423) 581-6084

709 McFarland St
Morristown, TN 37814
Phone (423) 353-1175

Practitioners & affiliated clinicians

Practitioners 7

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": "1126483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205884800000",
    "number": "1285629782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 MCFARLAND ST",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378143977",
            "telephone_number": "423-587-2596",
            "fax_number": "423-585-0223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 MCFARLAND ST",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378143977",
            "telephone_number": "423-587-2596",
            "fax_number": "423-585-0223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTIN CLINIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-12",
        "last_updated": "2008-03-19",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "IVAN",
        "authorized_official_middle_name": "COSME",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-587-2596",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBST",
            "identifier": "4155338",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ivan C. Perez, M.D.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Morristown, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.