MEDICARE: DR. JOHN COLEMAN WESTERKAMM MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Y00000X	Otolaryngology Physician	44369	TN

General Provider Information

NPI Number	:	1104812478
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN COLEMAN WESTERKAMM MD

Provider Business Mailing Address
First Line	:	451 NORTHCREST DR
Second Line	:
City	:	SPRINGFIELD
State	:	TN
Zip	:	37172-3973
Country	:	US
Telephone Number	:	615-433-7302
Fax Number	:	615-433-7303

Provider Business Practice Location Address
First Line	:	451 NORTHCREST DR
Second Line	:
City	:	SPRINGFIELD
State	:	TN
Zip	:	37172-3973
Country	:	US
Telephone Number	:	615-433-7302
Fax Number	:	615-433-7303

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/22/2005
Last Update Date	:	01/11/2011

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