Healthcare Provider Details

I. General information

NPI: 1841346152
Provider Name (Legal Business Name): MICHAEL JAMES WEST M.D., PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/27/2007
Last Update Date: 04/24/2025
Certification Date: 04/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 L ST NW STE 609
WASHINGTON DC
20036-5024
US

IV. Provider business mailing address

1900 L ST NW STE 609
WASHINGTON DC
20036-5024
US

V. Phone/Fax

Practice location:
  • Phone: 202-570-5151
  • Fax: 202-446-2946
Mailing address:
  • Phone: 202-570-5151
  • Fax: 202-446-2946

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number125680
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License NumberMD038324
License Number StateDC
# 3
Primary TaxonomyN
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number125680
License Number StateOH
# 4
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License NumberMD038324
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: