White Oak Family Medicine Clinic, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

17356 Issued in MS

Legal business name

WHITE OAK FAMILY MEDICINE CLINIC, LLC

Practice address

1190 S 18TH Street Ext
Oxford, MS 38655-5378

Phone

(662) 236-1927

Fax

(662) 236-3727

NPI assigned

Jan 6, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Erik S Richardson, M.D.NPI 1356359988

Title

Owner

Phone

(662) 236-1927

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Erik Scott Richardson, M.D.

  • Family Medicine Physician
  • Oxford, MS
  • NPI 1356359988
  NPD (past) Authorized official

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

{
    "created_epoch": "1231200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263168000000",
    "number": "1073759502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1190 S 18TH STREET EXT",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555378",
            "telephone_number": "662-236-1927",
            "fax_number": "662-236-3727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 S 18TH STREET EXT",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555378",
            "telephone_number": "662-236-1927",
            "fax_number": "662-236-3727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE OAK FAMILY MEDICINE CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-06",
        "last_updated": "2010-01-11",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "ERIK",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-236-1927",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MS",
            "license": "17356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "302G088746",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL PTAN",
            "identifier": "302I088746",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Wheat
• Taylor Wheatley, M.ED
• Benton M Wheeler, MD
• Jacob R Whelan, MD
• Scott Delano Whitaker, DMD MD
• Dakota Lee White, DO
• Marti Elizabeth White, PHARMD
• Shane Lee Whiteside
• Renee Tate Whitten, BSW
• Andrew Clark Whittington, D.O.

• Primary Care Clinic/Center in Oxford, MS
• Providers in Oxford, MS by specialty
• Primary Care Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.