Individual provider Active NPI

Samuel Abe West III, D.O.

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Austin, TX
National Provider Identifier
1972723450
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X
License
M3791 Issued in TX
Practice address
BLDG 87 Box 5218 Camp Mabry
6TH Civil Support Team (Weapons of Mass Destruction) TX
Austin, TX 78763-5218
Phone
(512) 782-1900
Fax
(512) 782-1949
NPI assigned
Apr 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X M3791 TX Primary

Addresses

Primary practice location

BLDG 87 Box 5218 Camp Mabry
6TH Civil Support Team (Weapons of Mass Destruction) TX
Austin, TX 78763-5218

Mailing address

BLDG 87 Box 5218 Camp Mabry
6TH Civil Support Team (Weapons of Mass Destruction)
Austin, TX 78763-5218
Phone (512) 782-1900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
M3791TXMDHospice and Palliative Medicine (Family Medicine) Physician

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972723450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BLDG 87 BOX 5218 CAMP MABRY",
            "address_2": "6TH CIVIL SUPPORT TEAM (WEAPONS OF MASS DESTRUCTION)",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787635218",
            "telephone_number": "512-782-1900",
            "fax_number": "512-782-1949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BLDG 87 BOX 5218 CAMP MABRY",
            "address_2": "6TH CIVIL SUPPORT TEAM (WEAPONS OF MASS DESTRUCTION) TX",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787635218",
            "telephone_number": "512-782-1900",
            "fax_number": "512-782-1949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEST",
        "first_name": "SAMUEL",
        "middle_name": "ABE",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "TX",
            "license": "M3791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.