Provider Demographics
NPI:1922024306
Name:WESTMAN, DAVID G (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:G
Last Name:WESTMAN
Suffix:
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 1:19020 33RD AVE W
Mailing Address - Street 2:STE 210
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98036-4746
Mailing Address - Country:US
Mailing Address - Phone:425-563-1500
Mailing Address - Fax:425-563-1374
Practice Address - Street 1:19020 33RD AVE W
Practice Address - Street 2:STE 210
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98036-4746
Practice Address - Country:US
Practice Address - Phone:425-563-1500
Practice Address - Fax:425-563-1374
Is Sole Proprietor?:No
Enumeration Date:2006-07-15
Last Update Date:2017-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0519002085N0700X
IDM-124102085N0700X, 2085R0202X
WAMD000473392085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No2085N0700XAllopathic & Osteopathic PhysiciansRadiologyNeuroradiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AK1584990Medicaid
WA216124OtherL&I PROVIDER ID
ID1922024306Medicaid
WA215374OtherL&I PROVIDER ID
WA8468993Medicaid
WA216501OtherL&I PROVIDER ID
WAG8862736Medicare PIN
WAG8862735Medicare PIN
ID20005730Medicare PIN
WAP00355439Medicare PIN
WA215374OtherL&I PROVIDER ID
WAG8862737Medicare PIN
GAG18054Medicare UPIN
WA8468993Medicaid
WA8869533Medicare PIN