Active NPI
Samuel West, M.D.
- Family Medicine Physician
- New Buffalo, MI
National Provider Identifier
1689644981
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4301090435
- Practice address
- 500 W Buffalo St
2ND Floor
New Buffalo, MI 49117-1208 - Phone
- (269) 469-0589
- Fax
- (269) 469-1980
- NPI assigned
- Jan 26, 2006
- Last updated
- Feb 23, 2016
- 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 | 4301090435 | MI | Primary |
Addresses
Primary practice location
500 W Buffalo St
2ND Floor
New Buffalo, MI 49117-1208
Mailing address
500 W Buffalo St
2ND Floor
New Buffalo, MI 49117-1208
Phone (269) 469-0589
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100181790 | Medicaid | IN |
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 |
|---|---|---|---|
| 4301090435 | MI | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456185600000",
"number": "1689644981",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 W BUFFALO ST",
"address_2": "2ND FLOOR",
"city": "NEW BUFFALO",
"state": "MI",
"postal_code": "491171208",
"telephone_number": "269-469-0589",
"fax_number": "269-469-1980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 W BUFFALO ST",
"address_2": "2ND FLOOR",
"city": "NEW BUFFALO",
"state": "MI",
"postal_code": "491171208",
"telephone_number": "269-469-0589",
"fax_number": "269-469-1980"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEST",
"first_name": "SAMUEL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-26",
"last_updated": "2016-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4301090435",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100181790",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in New Buffalo, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.