Active NPI
Sam Carroll West, M.D.
- Psychiatry Physician
- Dothan, AL
National Provider Identifier
1366403255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 8923
- Practice address
- 207 Haven Dr
Dothan, AL 36301-2919 - Phone
- (334) 793-1964
- Fax
- (334) 794-4131
- NPI assigned
- Mar 30, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 8923 | AL | Primary |
Addresses
Primary practice location
207 Haven Dr
Dothan, AL 36301-2919
Mailing address
207 Haven Dr
Dothan, AL 36301-2919
Phone (334) 793-1964
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51003791 | Other | AL | BLUE CROSS ALABAMA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8923 | AL | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Specialties of Dothan, PC | Psychiatry | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatry Physician
- Dothan, AL
- NPI 1396840047
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1366403255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "207 HAVEN DR",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363012919",
"telephone_number": "334-793-1964",
"fax_number": "334-794-4131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 HAVEN DR",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363012919",
"telephone_number": "334-793-1964",
"fax_number": "334-794-4131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEST",
"first_name": "SAM",
"middle_name": "CARROLL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "AL",
"license": "8923",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS ALABAMA",
"identifier": "51003791",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dothan, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.