Organization Active NPI

David a West

Doing business as West Sports Medicine & Ortho LLC

  • Orthopaedic Surgery Physician
  • Nashville, TN
National Provider Identifier
1932340924
Registry record updated Sep 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
DO1318 Issued in TN
Legal business name
DAVID A WEST
Doing business as
West Sports Medicine & Ortho LLC
Practice address
5435 Edmondson Pike
Nashville, TN 37211-5808
Phone
(615) 781-1001
Fax
(615) 781-1002
NPI assigned
Mar 20, 2009
Last updated
Sep 30, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2015

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

Authorized official

Name
David A West, D.O.NPI 1740257989
Title
Chief Manager
Phone
(615) 781-1001

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
Orthopaedic Surgery Physician 207X00000X DO1318 TN Primary

Addresses

Primary practice location

5435 Edmondson Pike
Nashville, TN 37211-5808

Mailing address

5435 Edmondson Pike
Nashville, TN 37211-5806
Phone (615) 781-1001

Other identifiers 2

IdentifierTypeStateIssuer
1513684MedicaidTN
33079072OtherTNMEDICARE PTAN

Other names 1

  • West Sports Medicine & Ortho LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20090625000656 TN Part B Supplier - Clinic/Group Practice 6002967361 Receives reassigned benefits from 3 practitioners
Practice locations: Nashville, TN
O20100930079173 TN DME Supplier - Physician - Orthopedic/Orthopedic Surgery 6002967361 Practice locations: Nashville, TN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1237507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443571200000",
    "number": "1932340924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5435 EDMONDSON PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372115806",
            "telephone_number": "615-781-1001",
            "fax_number": "615-781-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5435 EDMONDSON PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372115808",
            "telephone_number": "615-781-1001",
            "fax_number": "615-781-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID A WEST",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-20",
        "last_updated": "2015-09-30",
        "status": "A",
        "authorized_official_last_name": "WEST",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIEF MANAGER",
        "authorized_official_telephone_number": "615-781-1001",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TN",
            "license": "DO1318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1513684",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "33079072",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Sports Medicine & Ortho LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2015; 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.