Robert J White, D.P.M.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

PO4267 Issued in FL

Practice address

1326 Lewis Turner Blvd
Fort Walton Beach, FL 32547-1139

Phone

(850) 855-4048

Fax

(850) 855-4068

NPI assigned

Nov 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Emerald Coast Infectious Diseases Medical Group, P.a.Group PAC ID 5092753772, 35 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sacred Heart Hospital on the Emerald Coast Hospital, Miramar Beach, FL, CCN 100292
• HCA Florida Twin Cities Hospital Hospital, Niceville, FL, CCN 100054
• North Okaloosa Medical Center Hospital, Crestview, FL, CCN 100122

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Emerald Coast Infectious Diseases Medical Group, P.a.

  • Infectious Disease Physician
  • Fort Walton Beach, FL
  • NPI 1720017882

  Foot & Ankle Surgery

  Medicare reassignment Care Compare group NPD
• Emerald Coast Infectious Diseases Medical Group, PA

  • Community/Retail Pharmacy
  • Fort Walton Beach, FL
  • NPI 1154773950
  NPD

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

• Ascension Sacred Heart Emerald Coast

  • General Acute Care Hospital
  • Miramar Beach, FL
  • NPI 1558391771
  Care Compare affiliation
• Crestview Hospital Company, LLC

  • General Acute Care Hospital
  • Crestview, FL
  • NPI 1104897859
  Care Compare affiliation
• Okaloosa Hospital Inc

  • General Acute Care Hospital
  • Niceville, FL
  • NPI 1891732988
  Care Compare affiliation

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1093884033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1326 LEWIS TURNER BLVD",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325471139",
            "telephone_number": "850-855-4048",
            "fax_number": "850-855-4068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1326 LEWIS TURNER BLVD",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325471139",
            "telephone_number": "850-855-4048",
            "fax_number": "850-855-4068"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "917 Mar Walt Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Walton Beach",
            "state": "FL",
            "postal_code": "325476651",
            "country_code": "US",
            "telephone_number": "850-862-3979",
            "fax_number": "850-862-0605",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "137 Crystal Beach Dr Ste 121",
            "address_purpose": "LOCATION",
            "city": "Destin",
            "state": "FL",
            "postal_code": "325413573",
            "country_code": "US",
            "telephone_number": "850-807-4388",
            "fax_number": "850-862-0605",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "351 N Ferdon Blvd",
            "address_purpose": "LOCATION",
            "city": "Crestview",
            "state": "FL",
            "postal_code": "325362727",
            "country_code": "US",
            "telephone_number": "850-862-3979",
            "fax_number": "850-862-0605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITE",
        "first_name": "ROBERT",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "36003106",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO4267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• White-Wilson Medical Center, P.a.
• White-Wilson Medical Center, P.a.
• Devin Michael White
• Kristina Maria White, M.ED; LMFT
• Paulette White
• Suzanne White, LCSW
• Kay S Whitten, ARNP
• Michelle Anne Wildman, OTRL
• Christopher T Wiles, DO
• Danieal Lafayette Wilkinson, APRN

• Foot & Ankle Surgery Podiatrist in Fort Walton Beach, FL
• Providers in Fort Walton Beach, FL by specialty
• Foot & Ankle Surgery Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.