Westside Family Medical Center PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

WESTSIDE FAMILY MEDICAL CENTER PA

Doing business as

Eastwood Medical Clinic

Practice address

1626 N Plaza Dr
Tallahassee, FL 32308-5323

Phone

(850) 513-0067

Fax

(850) 561-6670

NPI assigned

Nov 30, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Janet Gibson, D.O.

Title

President

Phone

(850) 513-0067

Specialties & licenses 1

Addresses

Other names 1

• Eastwood Medical Clinic Doing business as

Locations

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202342400000",
    "number": "1881761138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1626 N PLAZA DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085323",
            "telephone_number": "850-513-0067",
            "fax_number": "850-561-6670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1626 N PLAZA DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085323",
            "telephone_number": "850-513-0067",
            "fax_number": "850-561-6670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSIDE FAMILY MEDICAL CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2008-02-07",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-513-0067",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eastwood Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joel Carl Westby, LCSW
• Tonia Westerfield
• Emma Westley
• Jennifer Alcorn Westmoreland
• Vicki C. Westmoreland, LMT
• Eve Elise Wettstein, ED.S
• Dawn Wetzel
• Mykaela Janae Wetzel, LMT
• Madison Annette Whalen
• David Lawrence Whaley, PHARM D

• Family Medicine Physician in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.