Active NPI
Travis W White, MD
- Family Medicine Physician
- North Chesterfield, VA
National Provider Identifier
1003039892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0101052682
- Practice address
- 8110 Midlothian Tpke
North Chesterfield, VA 23235-5116 - Phone
- (804) 320-8160
- NPI assigned
- Apr 10, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0101052682 | VA | Primary |
Addresses
Primary practice location
8110 Midlothian Tpke
North Chesterfield, VA 23235-5116
Mailing address
6913 W Grace St
Richmond, VA 23226-3540
Phone (804) 516-1764
Other practice location 1
6913 W Grace St
Richmond, VA 23226-3540
Phone (804) 516-1764
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871523191 | Medicaid | AZ | |
| 1295993376 | Medicaid | AZ | |
| 1629236716 | Medicaid | AZ |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | FMDH@direct-address.net | Direct | |
| Direct Messaging Address | VAExchange@patientfirstclinics.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101052682 | VA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Luke'S Methodist Hospital | Current | Accepting new patients | |
| Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm | Past | Accepting new patients | |
| DHHS IHS Phoenix Area | Past | Accepting new patients | |
| DHHS, PHS, Naihs, Shiprock Hospital | Past | Accepting new patients | |
| Frances Mahon Deaconess Hospital | Past | Accepting new patients | |
| DHHS, PHS, Naihs, Gallup Indian Medical Center | Past | Accepting new patients |
Locations
909 W 1st St
Sumner, IA 50674
Phone (563) 578-3275
Interoperability endpoints
- vaexchange@patientfirstclinics.com
- fmdh@direct-address.net
- twhite889673@direct.unitypoint.org
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- Dental Clinic/Center
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- Federal Public Health Clinic/Center
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- NPI 1902875594
-
- General Acute Care Hospital
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-
- Critical Access Hospital
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682294400000",
"number": "1003039892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6913 W GRACE ST",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232263540",
"telephone_number": "804-516-1764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8110 MIDLOTHIAN TPKE",
"city": "NORTH CHESTERFIELD",
"state": "VA",
"postal_code": "232355116",
"telephone_number": "804-320-8160"
}
],
"practiceLocations": [
{
"address_1": "6913 W Grace St",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "VA",
"postal_code": "232263540",
"country_code": "US",
"telephone_number": "804-516-1764",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WHITE",
"first_name": "TRAVIS",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-10",
"last_updated": "2023-04-24",
"certification_date": "2023-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0101052682",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1871523191",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1295993376",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1629236716",
"state": "AZ"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "FMDH@direct-address.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "621 3rd St S",
"city": "Glasgow",
"state": "MT",
"country_code": "US",
"postal_code": "592302604",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "VAExchange@patientfirstclinics.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "8110 Midlothian Tpke",
"city": "North Chesterfield",
"state": "VA",
"country_code": "US",
"postal_code": "232355116",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in North Chesterfield, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.