MEDICARE: WILLIAM P WEST D.O.

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	207L00000X	Anesthesiology Physician	OS00504L	PA
2	207LP2900X	Pain Medicine (Anesthesiology) Physician	OS005094L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	33030D	OTHER	PA	AMERIHEALTH MERCY HEALTH

General Provider Information

NPI Number	:	1437136686
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM P WEST D.O.

Provider Business Mailing Address
First Line	:	PO BOX 1234
Second Line	:
City	:	LANCASTER
State	:	PA
Zip	:	17608-1234
Country	:	US
Telephone Number	:	717-627-6280
Fax Number	:	717-627-2940

Provider Business Practice Location Address
First Line	:	1575 HIGHLANDS DR
Second Line	:	SUITE 204
City	:	LITITZ
State	:	PA
Zip	:	17543-7507
Country	:	US
Telephone Number	:	717-627-2804
Fax Number	:	717-627-2940

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

Provider Enumeration Date	:	12/29/2005
Last Update Date	:	03/13/2012

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Directions to “ WILLIAM P WEST D.O.” Practice Location

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