Organization Active NPI

Carlton a. West, MD SC

  • Medical Specialty Clinic/Center
  • Chicago, IL
National Provider Identifier
1407129364
Registry record updated Feb 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
CARLTON A. WEST, MD SC
Practice address
443 E 31St St
Chicago, IL 60616-4051
Phone
(312) 225-2055
Fax
(312) 225-7437
NPI assigned
Feb 22, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2012

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

Authorized official

Name
Dr. Carlton A West, MD
Title
President
Phone
(312) 225-2055

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

443 E 31St St
Chicago, IL 60616-4051

Mailing address

443 E 31St St
Chicago, IL 60616-4051
Phone (312) 225-2055

National Provider Directory

National Provider Directory

Locations

443 E 31st St
Chicago, IL 60616
Phone (312) 225-2055

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1329868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329868800000",
    "number": "1407129364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "443 E 31ST ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606164051",
            "telephone_number": "312-225-2055",
            "fax_number": "312-225-7437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "443 E 31ST ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606164051",
            "telephone_number": "312-225-2055",
            "fax_number": "312-225-7437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLTON A. WEST, MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-22",
        "last_updated": "2012-02-22",
        "status": "A",
        "authorized_official_last_name": "WEST",
        "authorized_official_first_name": "CARLTON",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-225-2055",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2012; 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.