Casey S. West, MD
Individual provider Active NPI Emergency Medical Services (Emergency Medicine) Physician · Austin, TN
NPI 1386686541 · NPPES record last updated May 14, 2010
Key facts
- NPI
- 1386686541
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medical Services (Emergency Medicine) Physician 207PE0004X
- License
- L4170 (TX)
- Practice address
- 12221 North Mopac
Austin, TN 78758 - Phone
- (512) 901-1000
- NPI assigned
- Jun 12, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050211000711 | TX | Practitioner - Emergency Medicine | 1759363856 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Longhorn Emergency Medical Associates PA | Emergency Medicine | Current |
Accepting new patients |
| Capitol City Emergency Staffing PA | Emergency Medical Services | Past | Accepting new patients |
| Memorial Southwest Emergency Physicians, LLP | Emergency Medicine | Past | Accepting new patients |
| Memorial Southeast Emergency Physicians, LLP | Emergency Medicine | Past | Accepting new patients |
| Memorial City Emergency Physicians, LLP | Emergency Medicine | Past | Accepting new patients |
Locations
919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466
12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530
Interoperability endpoints
- casey.west.1@30520.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | L4170 | TX | Yes |
| Emergency Medicine Physician | 207P00000X | L4170 | TX |
Addresses
Primary practice location
12221 North Mopac
Austin, TN 78758
Mailing address
5217 Old Spicewood Springs Rd
#2212
Austin, TX 78731-1036
Phone (512) 708-8654
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 153291304 | Medicaid | TX | |
| 153291305 | Medicaid | TX |
Other providers in Austin, TN
All providers in Austin, TN · Emergency Medical Services (Emergency Medicine) Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 14, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.