White Oak Family Physicians, PA

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

WHITE OAK FAMILY PHYSICIANS, PA

Doing business as

White Oak Urgent Care Randleman

Practice address

608 W Academy St
Randleman, NC 27317-9748

Phone

(336) 495-1001

Fax

(336) 495-1005

NPI assigned

Sep 21, 2006

Last updated

Aug 13, 2021By 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

Mrs. Laura S. Gore, MHA

Title

Ceo

Phone

(336) 625-1360

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• White Oak Urgent Care Randleman Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• White Oak Family Physicians, P.a.

  • Family Medicine Physician
  • Asheboro, NC
  • NPI 1093762577

  O20040422000678

  Same enrollment
• White Oak Family Physicians, PA

  dba White Oak Urgent Care Asheboro

  • Emergency Medicine Physician
  • Asheboro, NC
  • NPI 1922193622

  O20040422000678

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/57643

Practitioners 11

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.

• Mark Robert Keller, M.D.

  • Family Medicine Physician
  • Asheboro, NC
  • NPI 1295789535

  Emergency Medicine

  NPD
• Christopher Nou Lee, M.D.

  • Family Medicine Physician
  • Mayodan, NC
  • NPI 1093060360
  NPD
• Xang Lor, FNP

  • Family Nurse Practitioner
  • Charlotte, NC
  • NPI 1710794144
  NPD
• Ralph E. Michael, FNP-C

  • Family Nurse Practitioner
  • Asheboro, NC
  • NPI 1861467672
  NPD
• Chadwick Christian Nabors, DO

  • Family Medicine Physician
  • Asheboro, NC
  • NPI 1184252389
  NPD
• Philip T Olshinski, F.N.P.

  • Family Nurse Practitioner
  • Randleman, NC
  • NPI 1801855143
  NPD
• Jennifer Elder Burgart, MD

  • Family Medicine Physician
  • Asheboro, NC
  • NPI 1003010463
  NPD (past)
• Lynley S Holt, MD

  • Family Medicine Physician
  • Asheboro, NC
  • NPI 1043471329
  NPD (past)
• Jaber A. Khan, MD

  • Family Medicine Physician
  • Asheboro, NC
  • NPI 1205857182
  NPD (past)
• Sarah Troutman Routh, NP

  • Family Nurse Practitioner
  • Asheboro, NC
  • NPI 1619497682
  NPD (past)
• Christopher Michael Street, MD

  • Family Medicine Physician
  • Asheboro, NC
  • NPI 1215375324
  NPD (past)

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628812800000",
    "number": "1104925072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 WHITE OAK ST",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272034710",
            "telephone_number": "336-625-1360",
            "fax_number": "336-625-1889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 W ACADEMY ST",
            "city": "RANDLEMAN",
            "state": "NC",
            "postal_code": "273179748",
            "telephone_number": "336-495-1001",
            "fax_number": "336-495-1005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE OAK FAMILY PHYSICIANS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2021-08-13",
        "certification_date": "2021-08-13",
        "status": "A",
        "authorized_official_last_name": "GORE",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "336-625-1360",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MHA"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NC",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "012NG",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89012NG",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "White Oak Urgent Care Randleman",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "White Oak Urgent Care Randleman",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mandy Lynn Tuttle, MSN, APRN, NP-C
• Michael John Vanfleteren, PA-C
• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-2704)
• Haley Elizabeth Webster
• Madison Whitaker
• Woman's Work Consulting Group (Womans Work Birth and Family Support Services)
• Simone Wright

• Emergency Medicine Physician in Randleman, NC
• Providers in Randleman, NC by specialty
• Emergency Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.