Provider Demographics
NPI:1740257989
Name:WEST, DAVID ADAM (DO)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:ADAM
Last Name:WEST
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5435 EDMONDSON PIKE
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37211-5806
Mailing Address - Country:US
Mailing Address - Phone:615-781-1001
Mailing Address - Fax:615-781-1002
Practice Address - Street 1:5435 EDMONDSON PIKE
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37211-5806
Practice Address - Country:US
Practice Address - Phone:615-781-1001
Practice Address - Fax:615-781-1002
Is Sole Proprietor?:No
Enumeration Date:2006-03-07
Last Update Date:2015-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN01318207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3307907Medicaid
TN33079071Medicare PIN
TN3307907Medicaid