Organization Active NPI

John C Westerkamm MD PLLC

  • Otolaryngology Physician
  • Clarksville, TN
National Provider Identifier
1902267487
Registry record updated Oct 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
44369 Issued in TN
Legal business name
JOHN C WESTERKAMM MD PLLC
Practice address
661 Dunbar Cave Rd Ste 102
Clarksville, TN 37043-6572
Phone
(931) 266-0808
Fax
(615) 433-7303
NPI assigned
Mar 11, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2022

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

Authorized official

Name
Dr. John Coleman Westerkamm, M.D.NPI 1104812478
Title
Owner
Phone
(615) 433-7302

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X 44369 TN Primary

Addresses

Primary practice location

661 Dunbar Cave Rd Ste 102
Clarksville, TN 37043-6572

Mailing address

451 Northcrest Dr
Springfield, TN 37172-3973
Phone (615) 433-7302

Other practice location 1

451 Northcrest Dr
Springfield, TN 37172-3973
Phone (615) 433-7302

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160321001638 TN Part B Supplier - Clinic/Group Practice 2163729096 Receives reassigned benefits from 1 practitioner
Practice locations: Clarksville, TN; Springfield, TN

National Provider Directory

National Provider Directory

Locations

661 Dunbar Cave Rd
Ste 102
Clarksville, TN 37043
Phone (931) 266-0808

451 Northcrest Dr
Springfield, TN 37172
Phone (615) 433-7302

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10868/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1457654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665964800000",
    "number": "1902267487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 NORTHCREST DR",
            "city": "SPRINGFIELD",
            "state": "TN",
            "postal_code": "371723973",
            "telephone_number": "615-433-7302",
            "fax_number": "615-433-7303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "661 DUNBAR CAVE RD STE 102",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370436572",
            "telephone_number": "931-266-0808",
            "fax_number": "615-433-7303"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "451 Northcrest Dr",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "TN",
            "postal_code": "371723973",
            "country_code": "US",
            "telephone_number": "615-433-7302",
            "fax_number": "615-433-7303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JOHN C WESTERKAMM MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-11",
        "last_updated": "2022-10-17",
        "certification_date": "2022-10-17",
        "status": "A",
        "authorized_official_last_name": "WESTERKAMM",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "COLEMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-433-7302",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "TN",
            "license": "44369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.