NPIMap

Organization Active NPI

West Dermatology of Pennsylvania a Professional Medical Corporation

  • Dermatology Physician
  • Washington, PA
National Provider Identifier
1821265943
Registry record updated Dec 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD432414 Issued in PA
Legal business name
WEST DERMATOLOGY OF PENNSYLVANIA A PROFESSIONAL MEDICAL CORPORATION
Practice address
150 W Beau St
Suite 308
Washington, PA 15301-4425
Phone
(724) 225-1505
Fax
(724) 225-5810
NPI assigned
May 8, 2008
Last updated
Dec 8, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
J. ROBERT WEST, M.D., INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 8, 2008

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

Authorized official

Name
John Robert West, M.D.
Title
President
Phone
(909) 335-8649

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X MD432414 PA Primary

Addresses

Primary practice location

150 W Beau St
Suite 308
Washington, PA 15301-4425

Mailing address

PO Box 2199
Redlands, CA 92373-0721
Phone (909) 335-8649

Other identifiers 3

IdentifierTypeStateIssuer
RU2030643OtherPAHIGHMARK BLUE SHIELD
DN4267OtherPARAILROAD MEDICARE WEST DERM OF PA
MD432414OtherPAMEDICAL LICENSE

Other names 1

  • J. Robert West, M.D., Inc Other name

National Provider Directory

National Provider Directory
Part of
West Dermatology Pathol

Locations

150 W Beau St
Washington, PA 15301
Phone (412) 225-1505

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1210204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228694400000",
    "number": "1821265943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2199",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923730721",
            "telephone_number": "909-335-8649",
            "fax_number": "909-557-1953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 W BEAU ST",
            "address_2": "SUITE 308",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153014425",
            "telephone_number": "724-225-1505",
            "fax_number": "724-225-5810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST DERMATOLOGY OF PENNSYLVANIA A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "J. ROBERT WEST, M.D., INC",
        "enumeration_date": "2008-05-08",
        "last_updated": "2008-12-08",
        "status": "A",
        "authorized_official_last_name": "WEST",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-335-8649",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PA",
            "license": "MD432414",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "RU2030643",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE WEST DERM OF PA",
            "identifier": "DN4267",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "MD432414",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "J. Robert West, M.D., Inc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Washington, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2008; 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.