Active NPI
Shawn H West, M.D.
- Family Medicine Physician
- Edmonds, WA
National Provider Identifier
1427086800
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD00035365
- Practice address
- 7315 212TH St SW Ste 101
Puget Sound Family Physicians Dba Edmonds Family Medici
Edmonds, WA 98026 - Phone
- (425) 775-9474
- Fax
- (425) 670-3554
- NPI assigned
- Jun 28, 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD00035365 | WA | Primary |
Addresses
Primary practice location
7315 212TH St SW Ste 101
Puget Sound Family Physicians Dba Edmonds Family Medici
Edmonds, WA 98026
Mailing address
7315 212TH St SW Ste 101
Puget Sound Family Physicians Dba Edmonds Family Medici
Edmonds, WA 98026
Phone (425) 775-9474
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8241317 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seattle Primary Physicians, PLLC | Family Medicine | Past | Accepting new patients |
| The Polyclinic PLLC | Family Medicine | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Seattle, WA
- NPI 1043255961
-
- Durable Medical Equipment & Medical Supplies
- Tacoma, WA
- NPI 1831411487
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296432000000",
"number": "1427086800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7315 212TH ST SW STE 101",
"address_2": "PUGET SOUND FAMILY PHYSICIANS DBA EDMONDS FAMILY MEDICI",
"city": "EDMONDS",
"state": "WA",
"postal_code": "98026",
"telephone_number": "425-775-9474",
"fax_number": "425-670-3554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7315 212TH ST SW STE 101",
"address_2": "PUGET SOUND FAMILY PHYSICIANS DBA EDMONDS FAMILY MEDICI",
"city": "EDMONDS",
"state": "WA",
"postal_code": "98026",
"telephone_number": "425-775-9474",
"fax_number": "425-670-3554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEST",
"first_name": "SHAWN",
"middle_name": "H",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-28",
"last_updated": "2011-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MD00035365",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8241317",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Edmonds, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.