CHARLES ADGER WEST JR. (NPI# 1326061961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326061961 |
| Entity Type | Individual |
| Full Name | CHARLES ADGER WEST JR. |
| Credential | M.D. |
| Practice Address |
1325 Pennsylvania Ave Ste 680 Fort Worth TX 76104-2133 |
| Practice Telephone | 8172504235 |
| Practice Fax Number | 8178857701 |
| Mailing Telephone | 8172504235 |
| Mailing Fax Number | 8178857701 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2017-04-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
P1031 | TX | Allopathic & Osteopathic Physicians |
| N | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 015826R | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1475157 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114471448 | Charles West | Registered Nurse | 275 E Tami Cir Apt 103, Westland, MI 48186-5083 | 2016-08-03 |
| 1033520234 | Charles West Jr. | Massage Therapist | 318 Erin Dr Ste 5, Knoxville, TN 37919-6212 | 2014-05-12 |
| 1962728618 | Charles L'engle West | Psychologist | 95 Fountain St, Newton, MA 02465-3022 | 2010-04-20 |
| 1801006440 | Charles Keith West | Marriage & Family Therapist | 8941 Newton St, Lantana, TX 76226-6534 | 2007-05-23 |
| 1194932533 | Charles M. West | Dentist | 511 7th St, Altavista, VA 24517-1815 | 2007-05-16 |
| 1184849689 | Charles A West | Dentist | 1815 Montague Avenue, Extension Unit 2, Greenwood, SC 29649 | 2007-04-17 |
| 1821167032 | Charles Krug West | Social Worker | 50 No Second St, New Bedford, MA 02740 | 2006-11-06 |
| 1801900311 | Charles Michael West | Internal Medicine | 5885 Sw 29th St, Topeka, KS 66614-2466 | 2006-08-19 |
| 1407836406 | Charles B West Jr. | Otolaryngology | 124 N Park St, Asheboro, NC 27203-5440 | 2006-01-18 |
| 1063075604 | Charles West | Counselor | 7923 Santa Fe Dr, Overland Park, KS 66204-3644 | 2019-04-18 |
| Street Address |
1325 PENNSYLVANIA AVE STE 680 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76104-2133 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013554526 | Alex Ann Swanson | Physician Assistant | 1325 Pennsylvania Ave Ste 680, Fort Worth, TX 76104-2133 | 2019-12-03 |
| 1548752744 | Joel Wise | Physician Assistant | 1325 Pennsylvania Ave Ste 680, Fort Worth, TX 76104 | 2018-06-04 |
| 1588994271 | Hisham G. Qandeel | Surgery | 1325 Pennsylvania Ave Ste 680, Fort Worth, TX 76104-2133 | 2010-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669082186 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 1115 8th St, Fort Worth, TX 76104 | 2020-08-10 |
| 1992343693 | Iris Giove | Psychologist | John Peter Smith Hospital, 1500 S. Main St., Fort Worth, TX 76104 | 2019-12-13 |
| 1104480656 | Swarnalaxmi Umapathy | Student in an Organized Health Care Education/Training Program | 900 8th Avenue, Fort Worth, TX 76104 | 2019-04-30 |
| 1881189132 | Mega Surgical Assistants LLC | Specialist/Technologist, Other | 1301pennsylvania, Fort Worth, TX 76104 | 2018-06-28 |
| 1356848899 | Tricia Kelly | Nurse Practitioner | 1325 Pennsylvania Avenue Suite 560, Fort Worth, TX 76104 | 2018-04-11 |
| 1952820979 | Modern Vein Clinic | Internal Medicine | 757 8th Avenue, Suite A, Forth Worth, TX 76104 | 2017-09-11 |
| 1790207165 | Vanessa Abbood | Dietitian, Registered | 900 Eighth Ave, Fns Department, Fort Worth, TX 76104 | 2017-07-07 |
| 1922537562 | Nicole Marie Tod | Student in an Organized Health Care Education/Training Program | 1500 S Main Street, Fort Worth, TX 76104 | 2017-06-07 |
| 1770025934 | Micah Bonola | Chiropractor | 1300 W. Rosedale St, Ste. A, Fort Worth, TX 76104 | 2016-11-04 |
| 1518315894 | United Bioscience, LLC. | Clinical Medical Laboratory | 901 W. Leuda St., B, Fort Worth, TX 76104 | 2016-05-27 |
| Find all providers in zip 76104 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558702373 | Texas Health Care, P.l.l.c. | Surgery | 1307 8th Ave Ste 302, Fort Worth, TX 76104-4140 | 2013-07-09 |
| 1487962916 | Texas Health Care, P.l.l.c. | Surgery | 1250 8th Ave., Suite 240, Fort Worth, TX 76104-4124 | 2010-09-17 |
| 1538186135 | David L Stroman | Surgery | 1250 8th Ave., Suite 240, Fort Worth, TX 76104-4124 | 2006-07-17 |
| 1740825264 | Johnna Jones Do Facos Pa | Surgery | 800 8th Ave Ste 116, Fort Worth, TX 76104-2606 | 2019-11-07 |
| 1376947135 | Vikram Palkar | Surgery | 1500 S Main St, Fort Worth, TX 76104-4917 | 2014-10-22 |
| 1851668925 | Fort Worth Vascular and Surgical Associates, Pa | Surgery | 909 9th Ave, Suite 201, Fort Worth, TX 76104-3903 | 2011-11-17 |
| 1013173764 | Vascular and Vein Center Pa | Surgery | 1325 Pennsylvania Ave, Suite 440, Fort Worth, TX 76104-2128 | 2008-08-01 |
| 1134308091 | North Texas Vein Partners, LLC | Surgery | 2737 S Hulen St, Fort Worth, TX 76109-9535 | 2007-10-29 |
| 1720274533 | Saadi Mohy Aldeen Halbouni | Surgery | 800 8th Ave Ste 306, Fort Worth, TX 76104-2602 | 2007-09-15 |
| 1720282593 | Katherine Yvonne Kane | Surgery | 1250 8th Ave, Suite 240, Fort Worth, TX 76104-4124 | 2007-06-13 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76104 |
Please comment or provide details below to improve the information on CHARLES ADGER WEST JR..
| 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.