Individual provider Active NPI

Kara Michelle White, DO

  • Pediatrics Physician
  • South Charleston, WV
National Provider Identifier
1033291422
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
2068 Issued in WV
Practice address
4607 Maccorkle Ave SW
Ste 400
South Charleston, WV 25309-1364
Phone
(304) 766-4400
Fax
(304) 766-4417
NPI assigned
Oct 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 2068 WV Primary

Addresses

Primary practice location

4607 Maccorkle Ave SW
Ste 400
South Charleston, WV 25309-1364

Mailing address

4607 Maccorkle Ave SW
Ste 400
South Charleston, WV 25309-1364
Phone (304) 766-4400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240613000934 WV Practitioner - Pediatric Medicine 8527500909 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Health Systems Inc CurrentSince Mar 30, 2024 Accepting new patients
Valley Health Systems, Inc. CurrentSince Mar 30, 2024 Accepting new patients
Valley Health Systems, Inc Pediatrics CurrentSince Nov 5, 2024 Accepting new patients
Valley Health Systems, Inc. Pediatrics CurrentSince Jul 29, 2024 Accepting new patients
Valley Health Systems, Inc. Pediatrics CurrentSince Jun 19, 2024 Accepting new patients
South Charleston Pediatrics Pediatrics Past Accepting new patients
Valley Health Systems Inc Past Accepting new patients

Locations

830 Pennsylvania Ave
Ste 108
Charleston, WV 25302
Phone (304) 344-8368

85 Donohoe Dr
Huntington, WV 25705
Phone (304) 399-3310

2585 3rd Ave
Huntington, WV 25703
Phone (304) 697-1396

4290 US Route 60
Ste 1B
Huntington, WV 25705

3751 Teays Valley Rd
Hurricane, WV 25526
Phone (304) 760-8703

111 Great Teays Blvd
Scott Depot, WV 25560
Phone (304) 757-1907

Interoperability endpoints

  • Direct secure messaging: kwhite26273@valleyhealthsystems.direct-ci.com

Organizations & group practices 7

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033291422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4607 MACCORKLE AVE SW",
            "address_2": "STE 400",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253091364",
            "telephone_number": "304-766-4400",
            "fax_number": "304-766-4417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4607 MACCORKLE AVE SW",
            "address_2": "STE 400",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253091364",
            "telephone_number": "304-766-4400",
            "fax_number": "304-766-4417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "KARA",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WV",
            "license": "2068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Charleston, WV

Sources for this page

Verify at the official NPI Registry.