DAN C WEST (NPI# 1124015748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124015748 |
| Entity Type | Individual |
| Full Name | DAN C WEST |
| Credential | PA |
| Practice Address |
605 N Westover Blvd Albany GA 31707-2188 |
| Practice Telephone | 2294344200 |
| Practice Fax Number | 2294344208 |
| Mailing Telephone | 2294344200 |
| Mailing Fax Number | 2294344208 |
| Enumeration Date | 2005-09-29 |
| Last Update Date | 2016-06-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
002612 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 100000492A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275706400 | Dan E. West Jr. | Counselor | 104a Homestead Drive, Forest, VA 24551 | 2008-04-09 |
| Street Address |
605 N WESTOVER BLVD |
| City | ALBANY |
| State | GA |
| Zip Code | 31707-2188 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831748615 | Erica Laing | Nurse Practitioner | 605 N Westover Blvd, Albany, GA 31707-2188 | 2019-09-05 |
| 1518450188 | Leah Martin | Nurse Practitioner | 605 N Westover Blvd, Albany, GA 31707-2188 | 2018-06-08 |
| 1184083958 | Southern Surgery Center, LLC | Clinic/Center | 605 N Westover Blvd, Albany, GA 31707-2188 | 2016-02-22 |
| 1528487139 | Golda Kwayisi | Surgery | 605 N Westover Blvd, Albany, GA 31707-2188 | 2014-04-10 |
| 1447377080 | Robert Randolph Aderhold | Surgery | 605 N Westover Blvd, Albany, GA 31707-2188 | 2007-03-26 |
| 1639280282 | John B Davis Jr. | Surgery | 605 N Westover Blvd, Albany, GA 31707-2188 | 2006-08-31 |
| 1790791838 | Robert A Brooks | Physician Assistant | 605 N Westover Blvd, Albany, GA 31707-2188 | 2006-07-31 |
| 1962472506 | Mary Beth Smarra | Physician Assistant | 605 N Westover Blvd, Albany, GA 31707-2188 | 2006-01-25 |
| 1023005675 | Albany Surgical, P.C. | Surgery | 605 N Westover Blvd, Albany, GA 31707-2188 | 2005-09-29 |
| 1972590545 | Christopher C Smith | Surgery | 605 N Westover Blvd, Albany, GA 31707-2188 | 2005-09-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396394011 | Barbara Cannon | Technician | 2025 Gail Avenue, Albany, GA 31707 | 2019-09-05 |
| 1669941035 | Wallace Coleman | Counselor | 2403 Osler Court, Suite B, Albany, GA 31707 | 2018-11-15 |
| 1992293955 | Tiffany Timmerman | Massage Therapist | Albany Therapeutic Massage Clinic, 1534 Dawson, Rd, Albany, GA 31707 | 2018-04-25 |
| 1225550957 | Christopher George Solomon | Nurse Practitioner | 2336 Dawson Rd., Urgent Care Center At Phoebe Northwest, Albany, GA 31707 | 2017-07-14 |
| 1689107229 | Teemercare @ Home LLC | Home Health | 1129 Dawson Rd Ste A, Albany, GA 31707 | 2017-04-11 |
| 1205373917 | Nicarro Henderson | Specialist | 2005 E Dawson Rd, Albany, GA 31707 | 2017-01-20 |
| 1235567918 | Restoration of The Minds LLC | Community/Behavioral Health | 1408 Edgerly Avenue, Albany, GA 31707 | 2013-10-16 |
| 1588091334 | Marsha Danell Glover | Pediatrics | 517 N. Westover Blvd., Albany, GA 31707 | 2013-10-10 |
| 1003253139 | Bailey Healthcare Inc | Community/Behavioral Health | 2416 Suite B Westgate Dr, Albany, GA 31707 | 2013-05-30 |
| 1346685666 | Albany Urology Surgery Center LLC | Clinic/Center | 2400 Osler Court, Albany, GA 31707 | 2013-04-30 |
| Find all providers in zip 31707 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912486747 | Karen Duane | Physician Assistant | 48 New Scotland Ave, Albany, NY 12208 | 2018-08-13 |
| 1740708106 | Kenneth Cook | Physician Assistant | 121everett Rd, Albany, NY 12205 | 2017-09-06 |
| 1356722714 | Megan Weitzel | Physician Assistant | 50 New Scotland Ave # Mc-190, Albany, NY 12208-3403 | 2015-06-11 |
| 1063899847 | Philip Rabadi | Physician Assistant | 27 Westlyn Ct, Albany, NY 12203-3463 | 2015-04-30 |
| 1467885459 | Heather Freeman | Physician Assistant | 1980 Western Ave, Apt 731, Albany, NY 12203-5051 | 2013-08-14 |
| 1861509531 | Tracy Dee Amsden | Physician Assistant | 1365 Washington Ave Ste 300, Albany, NY 12206-1098 | 2006-08-25 |
| 1750378329 | Sheri B Smith | Physician Assistant | 2311 Lake Park Drive, Albany, GA 31707 | 2005-09-29 |
| 1942816368 | Brian D Klassner | Physician Assistant | 121 Everett Rd Ste 100, Albany, NY 12205-1447 | 2020-09-21 |
| 1114535077 | Jonathan Stephens | Physician Assistant | 121 Everett Rd Ste 100, Albany, NY 12205-1447 | 2020-07-16 |
| 1437776580 | Ambre Patrice Mcneal | Physician Assistant | 43 New Scotland Ave, Albany, NY 12208-3412 | 2020-07-05 |
| Find all providers in ALBANY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.