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

Organization subpart

No

Name

Ryan WhiteNPI 1063754596

Title

Owner

Phone

(985) 788-2221

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

• Ryan C White, MD

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

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

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

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

  • Family Nurse Practitioner
  • Covington, LA
  • NPI 1114316635
  Medicare reassignment Care Compare group NPD LA
• Lon F. Alexander, M.D.

  • Neurological Surgery Physician
  • Flower Mound, TX
  • NPI 1073595989
  NPD (past)

Medicare fee-for-service enrollment

Enrolled in LA

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 25, 2024.

{
    "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

• All providers in Slidell, LA
• 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.