Organization Active NPI

West Medical,Inc.

  • Internal Medicine Physician
  • Massillon, OH
National Provider Identifier
1326077512
Registry record updated Nov 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
WEST MEDICAL,INC.
Practice address
2037 Wales Ave.
Suite #130
Massillon, OH 44646
Phone
(330) 830-9378
Fax
(330) 830-1534
NPI assigned
Jul 1, 2006
Last updated
Nov 28, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2007

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

Authorized official

Name
Kristin L. Patterson
Title
Billing Supervisor
Phone
(330) 830-9378

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

2037 Wales Ave.
Suite #130
Massillon, OH 44646

Mailing address

2037 Wales Avenue N.W.
Suite #130
Massillon, OH 44646
Phone (330) 830-9378

Other identifiers 1

IdentifierTypeStateIssuer
1326077512OtherOHRAILLROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070220000798 OH Part B Supplier - Clinic/Group Practice 6406958529 Receives reassigned benefits from 9 practitioners
Practice locations: Massillon, OH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D0676786West Medical2037 Wales Ave NW Suite 130, Massillon, OH 44646Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

2037 Wales Ave NW
Ste 130
Massillon, OH 44646
Phone (216) 830-9378

Practitioners & affiliated clinicians

Practitioners 9

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": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196208000000",
    "number": "1326077512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2037 WALES AVENUE N.W.",
            "address_2": "SUITE #130",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "44646",
            "telephone_number": "330-830-9378",
            "fax_number": "330-830-1534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2037 WALES AVE.",
            "address_2": "SUITE #130",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "44646",
            "telephone_number": "330-830-9378",
            "fax_number": "330-830-1534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST MEDICAL,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2007-11-28",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "330-830-9378"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILLROAD MEDICARE",
            "identifier": "1326077512",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Massillon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.