Wayne Barlow White, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

01032858 Issued in IN

Practice address

1473 E State Road 44 Ste 5
Connersville, IN 47331-8292

Phone

(765) 825-0511

Fax

(765) 827-1247

NPI assigned

Nov 21, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Fayette County Government

  • State or Local Public Health Clinic/Center
  • Connersville, IN
  • NPI 1356368104
  NPD Authorized official
• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)
• East Bernstadt Medical Clinic PLLC

  dba East Bernstadt Medical Clinic

  • Rural Health Clinic/Center
  • London, KY
  • NPI 1245299585

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607472000000",
    "number": "1124001458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1770 W COUNTY ROAD 50 N",
            "city": "CONNERSVILLE",
            "state": "IN",
            "postal_code": "473318443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1473 E STATE ROAD 44 STE 5",
            "city": "CONNERSVILLE",
            "state": "IN",
            "postal_code": "473318292",
            "telephone_number": "765-825-0511",
            "fax_number": "765-827-1247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "WAYNE",
        "middle_name": "BARLOW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-21",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01032858",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100115050",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000605660",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-1729)
• Wal-Mart Stores East. LP (Walmart Vision Center 30-1729)
• Gary E Weber
• Macie Weiler
• Matthew Westenfeld
• Jessica Whited, LCSW
• Whitewater Eye Centers LLC (Whitewater Eye Center Connersville)
• Whitewater Eye Centers LLC (Whitewater Eye Center Connersville)
• Whitewater Valley Imaging Center
• Whitewater Valley Surgery Cener LLC

• Family Medicine Physician in Connersville, IN
• Providers in Connersville, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.