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NPI Code Detail

MEDICARE: DR. JOHN WEST VAN WERT MD

MEDICARE: DR. JOHN WEST VAN WERT 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
1207V00000XObstetrics & Gynecology PhysicianME48680FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1437151313
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN WEST VAN WERT MD
Provider Business Mailing Address
First Line : 460 E VENTRIS LN
Second Line :
City : MAITLAND
State : FL
Zip : 32751-5641
Country : US
Telephone Number : 321-378-2458
Fax Number : 321-378-2549
Provider Business Practice Location Address
First Line : 531 N MAITLAND AVE
Second Line :
City : MAITLAND
State : FL
Zip : 32751-4421
Country : US
Telephone Number : 321-397-1212
Fax Number : 321-397-1213
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/11/2005
Last Update Date : 02/17/2026

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Directions to “ DR. JOHN WEST VAN WERT MD” Practice Location

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