MEDICARE: OSCAR DERMOTT WEST 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	207RC0000X	Cardiovascular Disease Physician	ME0074665	FL
2	207UN0901X	Nuclear Cardiology Physician	ME0074665	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	44356	OTHER	FL	BCBS

General Provider Information

NPI Number	:	1548220965
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	OSCAR DERMOTT WEST MD

Provider Business Mailing Address
First Line	:	695 N CLYDE MORRIS BLVD
Second Line	:
City	:	DAYTONA BEACH
State	:	FL
Zip	:	32114
Country	:	US
Telephone Number	:	386-258-8722
Fax Number	:	386-258-8659

Provider Business Practice Location Address
First Line	:	630 W PLYMOUTH AVE
Second Line	:
City	:	DELAND
State	:	FL
Zip	:	32720-3260
Country	:	US
Telephone Number	:	386-734-3654
Fax Number	:	386-943-8087

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

Provider Enumeration Date	:	03/28/2006
Last Update Date	:	12/07/2017

Similar Medicare Providers

1083617856 — JAMES H TAYLOR M.D.
Practice Location Address:

600 W PLYMOUTH AVE
DELAND, FL
32720-3260

Practice Phone: 386-738-0322
Practice Fax: 386-738-0628

1376533018 — DELAND CENTRAL PHYSICIANS ASSOC
Practice Location Address:

650 W PLYMOUTH AVE
DELAND, FL
32720-3260

Practice Phone: 386-736-6622
Practice Fax: 386-736-6070

1558321018 — DR. FRANCIS ALEXANDER REED JR. MD
Practice Location Address:

630 W PLYMOUTH AVE
DELAND, FL
32720-3260

Practice Phone: 386-734-3654
Practice Fax: 386-943-8087

1235186578 — TINA SUE-MARIE ROBERTS-SMITH MPAS,PA-C
Practice Location Address:

600 W PLYMOUTH AVE
DELAND, FL
32720-3260

Practice Phone: 386-738-0322
Practice Fax: 386-738-0628

1639254980 — ALICIA BROWN
Practice Location Address:

600 W PLYMOUTH AVE
DELAND, FL
32720-3260

Practice Phone: 386-738-0322
Practice Fax: 386-738-0628

1164560041 — LEWIS & KLANCKE CARDIOLOGY, P.A.
Practice Location Address:

630 W PLYMOUTH AVE
DELAND, FL
32720-3260

Practice Phone: 386-734-3654
Practice Fax: 386-943-8087

Directions to “ OSCAR DERMOTT WEST MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.