Active NPI
Tommy Lynn West, M.D.
- Gynecology Physician
- Galesburg, IL
National Provider Identifier
1952362055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 036070823
- Practice address
- 834 N Seminary St
Suite 501
Galesburg, IL 61401-2852 - Phone
- (309) 343-3303
- Fax
- (309) 343-3320
- NPI assigned
- Mar 29, 2006
- 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 |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 036070823 | IL | Primary |
Addresses
Primary practice location
834 N Seminary St
Suite 501
Galesburg, IL 61401-2852
Mailing address
834 N Seminary St
Suite 501
Galesburg, IL 61401-2852
Phone (309) 343-3303
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 36070823 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ozarks Medical Center | Past | Accepting new patients | |
| Medical & Surgical Specialists, LLC | Past | Accepting new patients | |
| Knox Clinic Corp | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Durable Medical Equipment & Medical Supplies
- Galesburg, IL
- NPI 1669947503
-
- Specialist
- Galesburg, IL
- NPI 1568407211
-
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209686400000",
"number": "1952362055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "834 N SEMINARY ST",
"address_2": "SUITE 501",
"city": "GALESBURG",
"state": "IL",
"postal_code": "614012852",
"telephone_number": "309-343-3303",
"fax_number": "309-343-3320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "834 N SEMINARY ST",
"address_2": "SUITE 501",
"city": "GALESBURG",
"state": "IL",
"postal_code": "614012852",
"telephone_number": "309-343-3303",
"fax_number": "309-343-3320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEST",
"first_name": "TOMMY",
"middle_name": "LYNN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-29",
"last_updated": "2008-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "IL",
"license": "036070823",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "36070823",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Galesburg, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.