Terry Dale West, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

36059820 Issued in IL

Practice address

302 Randall Rd
Suite 205
Geneva, IL 60134-4204

Phone

(630) 232-4224

Fax

(630) 232-0150

NPI assigned

Apr 22, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1145664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260748800000",
    "number": "1629034319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 RANDALL RD",
            "address_2": "SUITE 205",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601344204",
            "telephone_number": "630-232-4224",
            "fax_number": "630-232-0150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 RANDALL RD",
            "address_2": "SUITE 205",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601344204",
            "telephone_number": "630-232-4224",
            "fax_number": "630-232-0150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEST",
        "first_name": "TERRY",
        "middle_name": "DALE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-22",
        "last_updated": "2009-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "36059820",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "04500701",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036059820",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4095282",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natalie Weiss, R.D, L.D.N
• Paul Arthur Weiss, M.S.
• Wellcare Neonatologist
• Tiffany Y Wen, M.D.
• West Suburban Healthcare Center LLC
• Andrew Westfall, MD
• Andrea Rose Westmoreland, PT
• Susie Maria White, M.D.
• Whole Human Health
• Audrey Whybrew

• Family Medicine Physician in Geneva, IL
• Providers in Geneva, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2009; 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.