Provider Demographics
NPI:1023077617
Name:WEST, JOYCE ARLENE (MD)
Entity type:Individual
Prefix:DR
First Name:JOYCE
Middle Name:ARLENE
Last Name:WEST
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 PELRET PKWY
Mailing Address - Street 2:SUITE 200
Mailing Address - City:BEREA
Mailing Address - State:OH
Mailing Address - Zip Code:44017
Mailing Address - Country:US
Mailing Address - Phone:440-274-5000
Mailing Address - Fax:
Practice Address - Street 1:36000 EUCLID AVE
Practice Address - Street 2:
Practice Address - City:WILLOUGHBY
Practice Address - State:OH
Practice Address - Zip Code:44094-4625
Practice Address - Country:US
Practice Address - Phone:440-354-4208
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-21
Last Update Date:2008-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-029467207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
000000126683OtherANTHEM BLUE CROSS BLUE SHIELD
4015184OtherAETNA
OH0821187Medicaid
1100273OtherUNITED HEALTH CARE
353945OtherWELLCARE
E75542Medicare UPIN
220010522Medicare PIN
1100273OtherUNITED HEALTH CARE
353945OtherWELLCARE
OH0675782Medicare PIN