DR. KENNETH JAMES WESTRATE (NPI# 1568564326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568564326 |
| Entity Type | Individual |
| Full Name | DR. KENNETH JAMES WESTRATE |
| Credential | M.D. |
| Practice Address |
12033 Agency Rd Parker AZ 85344-7718 |
| Mailing Address |
1310 Calimesa Ct Lake Havasu City AZ 86406-8045 |
| Practice Telephone | 9286692137 |
| Practice Fax Number | 9286693131 |
| Mailing Telephone | 6168550526 |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2013-07-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 4301046165 | MI | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 4301046165 | MI | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 4301046165 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 717845 | 05 |
| Street Address |
12033 AGENCY RD |
| City | PARKER |
| State | AZ |
| Zip Code | 85344-7718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376510495 | Alice D. Calhoun | Pediatrics | 12033 Agency Rd, Parker, AZ 85344-7718 | 2006-03-07 |
| 1255941787 | Kimberly Christine Chavez | Registered Nurse | 12033 Agency Rd, Parker, AZ 85344-7718 | 2020-08-10 |
| 1518575539 | Heidi Anne Eikom | Registered Nurse | 12033 Agency Rd, Parker, AZ 85344-7718 | 2020-07-15 |
| 1093363020 | Folaremi Adeyemo | Pharmacist | 12033 Agency Rd, Parker, AZ 85344-7718 | 2019-09-03 |
| 1265087837 | Lisa Tung | Pharmacist | 12033 Agency Rd, Parker, AZ 85344-7718 | 2019-08-09 |
| 1588219323 | Donna Triplett | Registered Nurse | 12033 Agency Rd, Parker, AZ 85344-7718 | 2019-08-08 |
| 1992365621 | Nichole L Hord | Registered Nurse | 12033 Agency Rd, Parker, AZ 85344-7718 | 2019-06-14 |
| 1942868187 | Lisa Michelle Croley | Registered Nurse | 12033 Agency Rd, Parker, AZ 85344-7718 | 2019-06-03 |
| 1942764253 | Astrid Peck | Registered Nurse | 12033 Agency Rd, Parker, AZ 85344-7718 | 2019-01-31 |
| 1811451198 | Veo Prakai Daly | Registered Nurse | 12033 Agency Rd, Parker, AZ 85344-7718 | 2019-01-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689156366 | Kimberly Lynnette Kirkpatrick | Pharmacist | 12033 W Agency Ave, Parker, AZ 85344 | 2018-08-30 |
| 1811419534 | Cheryl Brooks | Registered Nurse | 12033 W. Agency Ave, Parker, AZ 85344 | 2017-07-14 |
| 1356877716 | Damian Jenkins | Specialist/Technologist, Other | 1200 S Mohave Ave, Parker, AZ 85344 | 2017-05-04 |
| 1821434184 | Rio Vista Surgical Associates P.C. | Surgery | 1200 Mohave Dr, Parker, AZ 85344 | 2013-05-14 |
| 1881039600 | Juan G Lopez | Counselor | 13376 1st Ave, Parker, AZ 85344 | 2013-05-07 |
| 1942581699 | Rocky Mountain Holdings LLC | Ambulance | 913 S Ocotillo Ave, Parker, AZ 85344 | 2011-09-07 |
| 1467732271 | Adam Caton | Podiatrist | 1713 S Kofa Ave Ste K, Parker, AZ 85344 | 2011-08-24 |
| 1902137516 | Shana Lee Tackett | Student in an Organized Health Care Education/Training Program | 12330 Agency Rd, Parker Indian Health Center, Parker, AZ 85344 | 2010-01-21 |
| 1649501339 | Alice Rodriguez | Student in an Organized Health Care Education/Training Program | 12330 Agency Rd., Parker, AZ 85344 | 2010-01-20 |
| 1821328931 | Armando Sosa Jr. | Student in an Organized Health Care Education/Training Program | 12330 Agency Road, Parker, AZ 85344 | 2010-01-12 |
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| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952937799 | Usacs of Colorado Inc | Emergency Medicine | 9395 Crown Crest Blvd, Parker, CO 80138-8573 | 2020-03-12 |
| 1376178863 | Usacs Community Emergency Services of Colorado, Inc. | Emergency Medicine | 9949 S Oswego St, Parker, CO 80134-3753 | 2020-03-05 |
| 1386095925 | Parker Emergency Services LLC | Emergency Medicine | 1200 W Mohave Rd, Parker, AZ 85344-6349 | 2016-06-24 |
| 1033398912 | Drew J Paulson | Emergency Medicine | 1200 W Mohave Rd, Parker, AZ 85344-6349 | 2007-10-29 |
| 1871504860 | Sunset Emergency Physicians LLC | Emergency Medicine | 1200 W Mohave Rd, Parker, AZ 85344-6349 | 2006-08-11 |
| 1790707172 | Joseph Charles Proctor Sr. | Emergency Medicine | 1200 W Mohave Rd, Parker, AZ 85344-6349 | 2006-07-24 |
| 1326090796 | Paul Robert Hladon | Emergency Medicine | 1200 W Mohave Rd, Emergency Department, Parker, AZ 85344-6349 | 2006-05-16 |
| 1821048927 | Emcare Physician Providers, Inc | Emergency Medicine | 1200 W Mohave Rd, Emergency Department, Parker, AZ 85344-6349 | 2006-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124627815 | Fep Ncch | Emergency Medicine | 8825 N 23rd Ave Ste 100, Phoenix, AZ 85021-4148 | 2020-10-22 |
| 1780202804 | Cep America- Arizona, PC | Emergency Medicine | 1405 S. Alma School Rd., Chandler, AZ 85286 | 2020-07-07 |
| 1932755006 | Ucc Tucson Holdings, LLC. | Emergency Medicine | 18773 S Nogales Hwy Ste 125, Green Valley, AZ 85614-0403 | 2019-08-14 |
| 1831652189 | Derek Allan Hatfield | Emergency Medicine | 1625 N Campbell Ave., Tucson, AZ 85719 | 2019-04-12 |
| 1053874305 | Travis Patrick Martin | Emergency Medicine | 1625 N. Campbell Ave, Tucson, AZ 85719 | 2019-04-12 |
| 1245793504 | Martin Cisneroz | Emergency Medicine | 1625 North Campbell Avenue, Tucson, AZ 85719 | 2019-04-12 |
| 1174086722 | Sarah Joy Ring | Emergency Medicine | 1625 N. Campbell Ave., Tucson, AZ 85719 | 2019-04-10 |
| 1386106391 | Joshua Lee Price | Emergency Medicine | 708 S Coeur D Alene Ln Ste A, Payson, AZ 85541-5662 | 2019-04-01 |
| 1346708708 | Colonna Physician Services LLC | Emergency Medicine | 4030 N Stockton Hill Rd Ste 3, Kingman, AZ 86409-2452 | 2019-03-05 |
| 1609304633 | Vincent Guarino | Emergency Medicine | 5700 E, Az-90, Sierra Vista, AZ 85635 | 2017-06-04 |
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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.