Provider Demographics
NPI:1851418537
Name:WEST, ARTHUR D JR (MD)
Entity Type:Individual
Prefix:
First Name:ARTHUR
Middle Name:D
Last Name:WEST
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2005 S 127TH CIR
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68144-2606
Mailing Address - Country:US
Mailing Address - Phone:402-731-7990
Mailing Address - Fax:
Practice Address - Street 1:2900 F ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68107-1533
Practice Address - Country:US
Practice Address - Phone:402-731-7990
Practice Address - Fax:402-731-8138
Is Sole Proprietor?:No
Enumeration Date:2007-03-26
Last Update Date:2010-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE187092083P0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0500XAllopathic & Osteopathic PhysiciansPreventive MedicinePreventive Medicine/Occupational Environmental Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NENA1448004Medicare UPIN
F59273Medicare UPIN
NENA1448Medicare PIN