Individual provider Active NPI

Stephen C White, MD

  • Orthopaedic Surgery Physician
  • Denison, TX
National Provider Identifier
1063489490
Registry record updated Sep 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
L3183 Issued in TX
Practice address
5012 S US Highway 75
Suite 120
Denison, TX 75020-4587
Phone
(903) 465-2190
Fax
(903) 465-2262
NPI assigned
Mar 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X L3183 TX Primary

Addresses

Primary practice location

5012 S US Highway 75
Suite 120
Denison, TX 75020-4587

Mailing address

5012 S US Highway 75
Suite 120
Denison, TX 75020-4587
Phone (903) 465-2190

Other identifiers 1

IdentifierTypeStateIssuer
14753501MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20170223000461 WA Practitioner - Orthopedic Surgery 8325094964 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Utah School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Okanogan Douglas County Hospital Dist 1Group PAC ID 7810882792, shared by 4 NPIs, 34 clinicians

Practice addresses (Care Compare)

415 Hospital Way
Brewster, WA 98812-0577
Phone (509) 689-3749

507 Hospital Way
Brewster, WA 98812-0019
Phone (509) 689-2517

507 Hospital Way
Brewster, WA 98812-0577

529 Jasmine St
Omak, WA 98841-9589
Phone (509) 826-1800

810 Jasmine St
Omak, WA 98841-9578
Phone (509) 826-1760

PO Box
Brewster, WA 98812-0577

PO Box
Omak, WA 98841-0793

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
L3183TXMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Okanogan County Public Hospital District No. 3 CurrentSince May 16, 2022 Accepting new patients
Okanogan Douglas County Hospital Dist 1 CurrentSince Apr 20, 2022 Accepting new patients
Okanogan County Public Hospital District No. 3 CurrentSince May 16, 2022 Accepting new patients
Okanogan Douglas County Hospital Dist1 CurrentSince Mar 1, 2022 Accepting new patients
Okanogan Douglas County Hospital Dist 1 CurrentSince Mar 1, 2022 Accepting new patients
Diagnostic Clinic of Longview PA Orthopaedic Surgery Past Accepting new patients

Locations

810 Jasmine St
Omak, WA 98841
Phone (509) 826-1760

529 Jasmine St
Omak, WA 98841
Phone (509) 826-1600

Interoperability endpoints

  • Direct secure messaging: whites@mvhealth.cernerdirect.com
  • FHIR API: https://api.platform.athenahealth.com/23550/brand/1/csg/1/fhir/r4

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1141344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379030400000",
    "number": "1063489490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5012 S US HIGHWAY 75",
            "address_2": "SUITE 120",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750204587",
            "telephone_number": "903-465-2190",
            "fax_number": "903-465-2262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5012 S US HIGHWAY 75",
            "address_2": "SUITE 120",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750204587",
            "telephone_number": "903-465-2190",
            "fax_number": "903-465-2262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "STEPHEN",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-03",
        "last_updated": "2013-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "L3183",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "14753501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denison, TX

Sources for this page

Verify at the official NPI Registry.