Individual provider Active NPI

John D West, PA C

  • Family Medicine Physician
  • Pineville, WV
National Provider Identifier
1295826576
Registry record updated Feb 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
382 Issued in WV
Practice address
Main St
Family Healthcare Assoc Inc
Pineville, WV 24874
Phone
(304) 732-6735
Fax
(304) 732-9218
NPI assigned
Sep 28, 2006
Last updated
Feb 10, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 382 WV Primary

Addresses

Primary practice location

Main St
Family Healthcare Assoc Inc
Pineville, WV 24874

Mailing address

PO Box 1650
Family Healthcare Assoc Inc
Pineville, WV 24874
Phone (304) 732-6735

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20061031000560 WV Practitioner - Physician Assistant 7810994092 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
382WVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Healthcare Associates, Inc CurrentSince Aug 14, 2006 Accepting new patients
Family Healthcare Associates Inc Family Medicine CurrentSince Aug 14, 2006 Accepting new patients
Family Healthcare Associates Inc Family Medicine Current Accepting new patients
Family Healthcare Associates Inc Family Medicine Current Accepting new patients
Family Healthcare Associates Inc Family Medicine Current Accepting new patients

Locations

114 Main St
Man, WV 25635
Phone (304) 583-0019

205 Howard Ave
Mullens, WV 25882
Phone (304) 294-4880

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.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265760000000",
    "number": "1295826576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1650",
            "address_2": "FAMILY HEALTHCARE ASSOC INC",
            "city": "PINEVILLE",
            "state": "WV",
            "postal_code": "24874",
            "telephone_number": "304-732-6735",
            "fax_number": "304-732-9218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MAIN ST",
            "address_2": "FAMILY HEALTHCARE ASSOC INC",
            "city": "PINEVILLE",
            "state": "WV",
            "postal_code": "24874",
            "telephone_number": "304-732-6735",
            "fax_number": "304-732-9218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEST",
        "first_name": "JOHN",
        "middle_name": "D",
        "credential": "PA C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2010-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pineville, WV

Sources for this page

Verify at the official NPI Registry.