Provider Demographics
NPI:1578648663
Name:WEST, ELSA F (CRNA)
Entity Type:Individual
Prefix:
First Name:ELSA
Middle Name:F
Last Name:WEST
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 711841
Mailing Address - Street 2:MID ATLANTIC ANESTHESIA CONSULTANTS
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43271-0001
Mailing Address - Country:US
Mailing Address - Phone:304-346-9400
Mailing Address - Fax:304-720-8461
Practice Address - Street 1:1200 J D ANDERSON DR
Practice Address - Street 2:MONONGALIA GENERAL HOSPITAL
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26505-3494
Practice Address - Country:US
Practice Address - Phone:304-285-1200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-26
Last Update Date:2008-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV68590367500000X
MA17998367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV001985246OtherMSBCBS
WV1070292OtherBRICKSTREET
WV270052997004OtherTRICARE
WVDA0096OtherRR MEDICARE
WV27005299701OtherBRICKSTREET GROUP
WV3810006437Medicaid
WV001706470OtherMSBCBS GROUP
WV0207026000Medicaid
WV270052997OtherTRI-CARE
WVP00453017OtherRR MEDICARE
WV270052997OtherTRI-CARE
WV8240301Medicare PIN