White Coat Medical Group LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

WHITE COAT MEDICAL GROUP LLC

Practice address

736 Gause Blvd
Slidell, LA 70458-2840

Phone

(985) 788-2221

NPI assigned

Feb 16, 2024

Last updated

Nov 25, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ryan WhiteNPI 1063754596

Title

Owner

Phone

(985) 788-2221

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ryan C White, MD

  • Family Medicine Physician
  • Slidell, LA
  • NPI 1063754596
  Medicare reassignment Care Compare group NPD Authorized official
• Alyssa Disoso, APRN, AGACNP

  • Nurse Practitioner
  • Covington, LA
  • NPI 1497575443
  Medicare reassignment Care Compare group NPD
• Nathan C Freeman, PA-C

  • Medical Physician Assistant
  • Lacombe, LA
  • NPI 1982606166
  Medicare reassignment Care Compare group NPD
• Tara Kempton-Jerez, FNP

  • Family Nurse Practitioner
  • Ponchatoula, LA
  • NPI 1376977413
  Medicare reassignment Care Compare group NPD
• Brianne Lagasse, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Covington, LA
  • NPI 1114316635
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1708041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732492800000",
    "number": "1083479265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 HERMITAGE CT",
            "city": "PEARL RIVER",
            "state": "LA",
            "postal_code": "704523902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "736 GAUSE BLVD",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704582840",
            "telephone_number": "985-788-2221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE COAT MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-16",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-788-2221"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Thane West, M.D.
• Jonathan Westerveld, DPM
• Russell L Westfall, D.D.S.
• Margaret Ann Wetzel, PHARMD
• Scott Garrett Wheat Sr., CRNA
• Amanda Kehaulani White, LPN
• Delnesha P White
• Kitty White, LCSW
• Malissa Ann White
• Marcel White

• Internal Medicine Physician in Slidell, LA
• Providers in Slidell, LA by specialty
• Internal Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.