MR. MARVIN R WEST P.A.
NPI 1356569461
Physician Assistant in Jacksonville, FL

Active since April 23, 2007
10175 FORTUNE PKWY UNIT 803, JACKSONVILLE, FL 32256(904) 374-0353(904) 503-0982 Get Directions Write a Review

NPPES record last updated: June 16, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Marvin R West P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. MARVIN R WEST P.A. (NPI 1356569461) is an individual physician assistant in Jacksonville, Florida, licensed in Florida (PA 1584) and active in the NPI registry since April 2007. He maintains a secondary practice location in Jacksonville.

NPPES Registry Identity

NPI1356569461
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. MARVIN R WESTCredential: P.A.
Location Address10175 FORTUNE PKWY UNIT 803Jacksonville, FL 32256-6754
Mailing Address8942 Elizabeth Falls DrJacksonville, FL 32257-5379 · (904) 891-0958
Fax(904) 503-0982
Sole ProprietorYes
Enumeration DateApril 23, 2007
Last NPPES UpdateJune 16, 2026
NPPES CertifiedJune 16, 2026
NPI 1356569461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in FL · PA 1584
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
10175 FORTUNE PKWY UNIT 803, Jacksonville, FL 32256

Secondary Practice Location 1

Location 18942 Elizabeth Falls DrJacksonville, FL 32257-5379 · Phone (904) 891-0958

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Anesthesiology (Pain Medicine)
10175 FORTUNE PKWY UNIT 803
JACKSONVILLE, FL 32256
Physical Medicine & Rehabilitation (Pain Medicine)
10175 FORTUNE PKWY UNIT 803
JACKSONVILLE, FL 32256
Physical Medicine & Rehabilitation (Pain Medicine)
10175 FORTUNE PKWY UNIT 803
JACKSONVILLE, FL 32256
Anesthesiology (Pain Medicine)
10175 FORTUNE PKWY UNIT 803
JACKSONVILLE, FL 32256

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marvin West's NPI number?

The NPI number for Marvin West is 1356569461. It was assigned to this individual provider in the NPPES registry on April 23, 2007.

Where is Marvin West located?

Marvin West practices at 10175 Fortune Pkwy Unit 803, Jacksonville, FL 32256. The listed phone number is (904) 374-0353.

What is Marvin West's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Marvin West was last updated on June 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.