Active NPI
Peter Francis White, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Ridgeland, SC
National Provider Identifier
1063547503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 14814
- Practice address
- 122 Riverwalk Blvd
# A
Ridgeland, SC 29936-8182 - Phone
- (843) 379-2939
- Fax
- (843) 379-2949
- NPI assigned
- Feb 23, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatopathology (Pathology) Physician | 207ZD0900X | 052853 | GA | |
| Dermatopathology (Pathology) Physician | 207ZD0900X | 14814 | SC | |
| Dermatopathology (Pathology) Physician | 207ZD0900X | 103481 | FL | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 14814 | SC | Primary |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 052853 | GA | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 103481 | FL |
Addresses
Primary practice location
122 Riverwalk Blvd
# A
Ridgeland, SC 29936-8182
Mailing address
PO Box 1218
Bluffton, SC 29910-1218
Phone (843) 379-2939
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 052853 | Other | GA | STATE MEDICAL LICENSE |
| 14814 | Other | SC | STATE MEDICAL LICENSE |
| ME103481 | Other | FL | STATE MEDICAL LICENSE |
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 |
|---|---|---|---|
| 103481 | FL | MD | Dermatopathology (Pathology) Physician |
| 052853 | GA | MD | Dermatopathology (Pathology) Physician |
| 14814 | SC | MD | Dermatopathology (Pathology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Biopsy Diagnostics, LLC | Anatomic Pathology & Clinical Pathology | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Ridgeland, SC
- NPI 1689652216
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1255996800000",
"number": "1063547503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1218",
"city": "BLUFFTON",
"state": "SC",
"postal_code": "299101218",
"telephone_number": "843-379-2939",
"fax_number": "843-379-2949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "122 RIVERWALK BLVD",
"address_2": "# A",
"city": "RIDGELAND",
"state": "SC",
"postal_code": "299368182",
"telephone_number": "843-379-2939",
"fax_number": "843-379-2949"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "PETER",
"middle_name": "FRANCIS",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-23",
"last_updated": "2009-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "207ZD0900X",
"taxonomy_group": "",
"desc": "Pathology, Dermatopathology",
"state": "GA",
"license": "052853",
"primary": false
},
{
"code": "207ZD0900X",
"taxonomy_group": "",
"desc": "Pathology, Dermatopathology",
"state": "SC",
"license": "14814",
"primary": false
},
{
"code": "207ZD0900X",
"taxonomy_group": "",
"desc": "Pathology, Dermatopathology",
"state": "FL",
"license": "103481",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "SC",
"license": "14814",
"primary": true
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "GA",
"license": "052853",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "FL",
"license": "103481",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE MEDICAL LICENSE",
"identifier": "052853",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE MEDICAL LICENSE",
"identifier": "14814",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE MEDICAL LICENSE",
"identifier": "ME103481",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ridgeland, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.