Active NPI
Adam White, P.A-C
- Physician Assistant
- Marion, OH
National Provider Identifier
1104191196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 50-003484
- Practice address
- 1000 McKinley Park Dr
Marion, OH 43302-6399 - Phone
- (740) 383-8700
- Fax
- (937) 619-4150
- NPI assigned
- Mar 9, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 50-003484 | OH | Primary |
Addresses
Primary practice location
1000 McKinley Park Dr
Marion, OH 43302-6399
Mailing address
4750 Hempstead Station Dr
Kettering, OH 45429-5164
Phone (800) 875-0136
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50-003484 | OH | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marion Physician Billing LLC | Past | Accepting new patients | |
| Marion General Hospital Foundation, Inc. | Past | Accepting new patients | |
| Galion Emergency Physicians Inc | Past | Accepting new patients |
Organizations & group practices 5
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.
-
- Emergency Medicine Physician
- Delaware, OH
- NPI 1184028524
-
- Emergency Medicine Physician
- Columbus, OH
- NPI 1982983425
-
- Emergency Medicine Physician
- Galion, OH
- NPI 1457391187
-
dba Marion General Hospital Foundation, Inc./Marion General Hospital
- Emergency Medicine Physician
- Marion, OH
- NPI 1134114077
-
- Emergency Medicine Physician
- Marion, OH
- NPI 1013247568
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331596800000",
"number": "1104191196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4750 HEMPSTEAD STATION DR",
"city": "KETTERING",
"state": "OH",
"postal_code": "454295164",
"telephone_number": "800-875-0136",
"fax_number": "937-619-4150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 MCKINLEY PARK DR",
"city": "MARION",
"state": "OH",
"postal_code": "433026399",
"telephone_number": "740-383-8700",
"fax_number": "937-619-4150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "ADAM",
"credential": "P.A-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-03-09",
"last_updated": "2012-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OH",
"license": "50-003484",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marion, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2012; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.