WEST FAMILY PRACTICE AND OBSTETRICS (NPI# 1003996224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003996224 |
| Entity Type | Organization |
| Organization Name | WEST FAMILY PRACTICE AND OBSTETRICS |
| Practice Address |
1510 E Wagon Wheel Ln Suite 106 Fort Mohave AZ 86426-6697 |
| Mailing Address |
Po Box 8400 Fort Mohave AZ 86427-8400 |
| Practice Telephone | 9287889378 |
| Practice Fax Number | 9287889381 |
| Mailing Telephone | 9287889378 |
| Mailing Fax Number | 9287889381 |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2011-02-02 |
| Authorized Official Name | GERALD C WEST (OWNER) |
| Authorized Official Telephone | 9287889378 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
27671 | AZ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | MEDICARE ID-PIN | Z109137 | 01 |
| Street Address |
1510 E WAGON WHEEL LN SUITE 106 |
| City | FORT MOHAVE |
| State | AZ |
| Zip Code | 86426-6697 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992761910 | Benjamin H Venger | Neurological Surgery | 1510 E Wagon Wheel Ln, Suite 110, Fort Mohave, AZ 86426-6697 | 2006-04-26 |
| 1194377242 | Rocky Mountain Holdings LLC | Ambulance | 1510 E Wagon Wheel Ln, Fort Mohave, AZ 86426-6697 | 2019-07-09 |
| 1528421971 | Jennifer Booze-hawkes | Nurse Practitioner | 1510 E Wagon Wheel Ln, Fort Mohave, AZ 86426-6697 | 2016-04-02 |
| 1275837932 | Annie Marie Rodman | Nurse Practitioner | 1510 E Wagon Wheel Ln, Suite 106, Fort Mohave, AZ 86426-6697 | 2011-01-10 |
| 1972812626 | Han-chin C Huang | Nurse Practitioner | 1510 E Wagon Wheel Ln, Suite 110, Fort Mohave, AZ 86426-6697 | 2010-09-29 |
| 1285649145 | Oleg V Serbine | Anesthesiology | 1510 E Wagon Wheel Ln, Ste. 110, Fort Mohave, AZ 86426-6697 | 2006-07-29 |
| 1679522379 | Mary Janikowski | Internal Medicine | 1510 E Wagon Wheel Ln, Fort Mohave, AZ 86426-6697 | 2006-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831740687 | Melissa Janos | Pharmacist | 4823 S, Az-95, Fort Mojave, AZ 86426 | 2019-09-24 |
| 1659774909 | Nicole Eileen Cash | Nurse Practitioner | 5653 S Highway 95 Ste A, Fort Mohave, AZ 86426 | 2014-10-01 |
| 1780009621 | Valley View Physician Practices, LLC | Physical Medicine & Rehabilitation | 5300 S. Highway 95, Ste. D., Ft. Mohave, AZ 86426 | 2014-03-02 |
| 1982840872 | Leticia Alcala | Massage Therapist | 5455 Hwy 95, Fort Mohave, AZ 86426 | 2008-12-23 |
| 1730387432 | Steven Dewayne Smart | Physical Therapist | 1988 Gemini St, Fort Mohave, AZ 86426 | 2007-07-05 |
| 1154543569 | Jonathan M. Brown, D.o., P.C. | Otolaryngology | 5300 South Highway 95, Suite M, Fort Mohave, AZ 86426 | 2007-05-03 |
| 1205931839 | Jennifer Lind Womack | Dietitian, Registered | 5300 S. Highway 95 Ste A, Fort Mohave, AZ 86426 | 2006-09-14 |
| 1053421057 | Kaye A Cunningham Md PC | Family Medicine | 5653 Hwy 95, Suite A, Fort Mohave, AZ 86426 | 2006-08-30 |
| 1780790576 | American Medical Imaging Inc | Radiology | 1517 E Aztec Ln, Fort Mohave, AZ 86426 | 2006-08-22 |
| 1902833817 | Allen E Stout | Chiropractor | 5130 Hwy 95, Fort Mohave, AZ 86426 | 2006-06-27 |
| Find all providers in zip 86426 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063068898 | Ambest Family Health Clinics, Pllc | Clinic/Center | 4841 S Mesa Villas Dr Apt 3, Fort Mohave, AZ 86426-6436 | 2019-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
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| 1447865589 | Best Life Medical | Clinic/Center | 1011 W Elliot Rd, Gilbert, AZ 85233-5171 | 2020-09-15 |
| 1013547686 | Wesley Community Center Inc | Clinic/Center | 1510 S 19th Dr Ste 100, Phoenix, AZ 85009-6540 | 2020-01-22 |
| 1548807514 | The Horizon Chiropractic Center | Clinic/Center | 4425 East Agave Road Suite 104, Phoenix, AZ 85044 | 2019-12-09 |
| 1528604923 | Maricopa County Special Health Care District | Clinic/Center | 8088 West Whitney Dr., Peoria, AZ 85345 | 2019-11-20 |
| 1114561107 | Vista Mobile Health, LLC | Clinic/Center | 10752 N 89th Pl # 104a-1, Scottsdale, AZ 85260-6730 | 2019-11-01 |
| 1477104362 | Modern Recovery, LLC | Clinic/Center | 4820 S Mill Ave Ste 203, Tempe, AZ 85282-7734 | 2019-09-23 |
| 1073178133 | Tammy Lynn Undiemi | Clinic/Center | 27575 N 172nd Ln, Surprise, AZ 85387-1126 | 2019-05-04 |
| 1871058891 | Dental and Braces Maryvale LLC | Clinic/Center | 6702 W Camelback Rd Ste 100, Glendale, AZ 85303-6324 | 2019-02-04 |
| 1154806446 | Cook Family Healthcare & Professional Services, PC | Clinic/Center | 9700 N. 91st. Street, Ste. A-115, Scottsdlae, AZ 85258 | 2018-10-02 |
| 1346722196 | Community Bridges, Inc. | Clinic/Center | 250 S Toole Ave Ste 130, Tucson, AZ 85701-1814 | 2018-08-29 |
| Find all providers with the same taxonomy | ||||
| City | FORT MOHAVE |
| Zip Code | 86426 |
Please comment or provide details below to improve the information on WEST FAMILY PRACTICE AND OBSTETRICS.
| 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.