Active NPI
Steven Devon White, M.D.
- Family Medicine Physician
- New Castle, KY
National Provider Identifier
1053507004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 18704
- Practice address
- 15 S Main St
New Castle, KY 40050-2568 - Phone
- (502) 845-7550
- Fax
- (502) 845-5551
- NPI assigned
- Sep 23, 2007
- Last updated
- Aug 12, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 18704 | KY | Primary |
| General Practice Physician | 208D00000X | 18704 | KY |
Addresses
Primary practice location
15 S Main St
New Castle, KY 40050-2568
Mailing address
15 S Main St
PO Box 189
New Castle, KY 40050-2568
Phone (502) 845-7550
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64187040 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081218000200 | KY | Practitioner - General Practice | 6406918861 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18704 | KY | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407801600000",
"number": "1053507004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 S MAIN ST",
"address_2": "PO BOX 189",
"city": "NEW CASTLE",
"state": "KY",
"postal_code": "400502568",
"telephone_number": "502-845-7550",
"fax_number": "502-845-5551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 S MAIN ST",
"city": "NEW CASTLE",
"state": "KY",
"postal_code": "400502568",
"telephone_number": "502-845-7550",
"fax_number": "502-845-5551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "STEVEN",
"middle_name": "DEVON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-09-23",
"last_updated": "2014-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KY",
"license": "18704",
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "KY",
"license": "18704",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64187040",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Castle, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.