Individual provider Active NPI

Therese K White, MD

  • Surgery of the Hand (Plastic Surgery) Physician
  • South Portland, ME
National Provider Identifier
1124136908
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery of the Hand (Plastic Surgery) PhysicianTaxonomy code 2082S0105X
License
013129 Issued in ME
Practice address
244 Western Avenue
South Portland, ME 04106-2496
Phone
(207) 775-3446
Fax
(207) 879-1646
NPI assigned
Aug 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 013129 ME
Surgery of the Hand (Plastic Surgery) Physician 2082S0105X 013129 ME Primary

Addresses

Primary practice location

244 Western Avenue
South Portland, ME 04106-2496

Mailing address

244 Western Avenue
South Portland, ME 04106-2496
Phone (207) 775-3446

Other identifiers 1

IdentifierTypeStateIssuer
254460099MedicaidME

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060104000247 ME Practitioner - Plastic and Reconstructive SurgeryPractitioner - Hand Surgery 1355383100 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive SurgeryAlso: Hand Surgery
Education
University of Vermont College of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
York HospitalGroup PAC ID 6406766781, 202 clinicians
Bangor Plastic and Hand Surgery, P.a.Group PAC ID 6901878974, 3 clinicians

Practice addresses (Care Compare)

16 Hospital Dr
York, ME 03909-1011
Phone (207) 351-2118

55 Broadway
Bangor, ME 04401-5201
Phone (207) 947-5657

Hospital & facility affiliations

  • York Hospital Hospital, York, ME, CCN 200020
  • Northern Light Mercy Hospital Hospital, Portland, ME, CCN 200008

Merit-based Incentive Payment System (MIPS)

Final score
80.77 of 100Reported as group
Quality
52.18
Promoting interoperability
99
Improvement activities
20
Cost
95.77

Merit-based Incentive Payment System (MIPS)

Final score
85.02 of 100Reported as group
Quality
59.99
Promoting interoperability
99
Improvement activities
40
Cost
74.25

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
013129MEMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rumford Hospital CurrentSince Oct 12, 2020 Accepting new patients
Bridgton Hospital CurrentSince Oct 12, 2020 Accepting new patients
Central Maine Clinical Associates Corporation Current Accepting new patients
Central Maine Medical Center CurrentSince Oct 7, 2020 Accepting new patients
Central Maine Clinical Associates CurrentSince Oct 7, 2020 Accepting new patients
Rumford Hospital CurrentSince Oct 12, 2020 Accepting new patients
Bangor Plastic and Hand Surgery, P.a. Surgery of the Hand CurrentSince Apr 1, 2025 Accepting new patients
Central Maine Medical Center CurrentSince Oct 7, 2020 Accepting new patients
Bridgton Hospital CurrentSince Oct 12, 2020 Accepting new patients
York Hospital Plastic Surgery CurrentSince Feb 1, 2026 Accepting new patients
Rumford Community Family Health Center, Inc. Past Accepting new patients

Locations

593 Center St
Auburn, ME 04210
Phone (207) 795-6543

55 Broadway
Bangor, ME 04401
Phone (207) 947-0469

10 Hospital Dr
Bridgton, ME 04009
Phone (207) 647-6000

300 Main St
Lewiston, ME 04240
Phone (207) 795-2400

364 Main St
Lewiston, ME 04240
Phone (207) 795-5646

29 Lowell St
Lewiston, ME 04240
Phone (207) 795-2154

1945 Congress St
Portland, ME 04102
Phone (315) 651-5216

1945 Congress St
Ste 102C
Portland, ME 04102

420 Franklin St
Rumford, ME 04276
Phone (207) 364-4581

16 Hospital Dr
York, ME 03909
Phone (207) 351-3455

15 Hospital Dr
York, ME 03909
Phone (207) 351-2478

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/4517c430-03bf-4e32-b324-1387cc4e73f3/

Organizations & group practices 11

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1124136908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 WESTERN AVENUE",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041062496",
            "telephone_number": "207-775-3446",
            "fax_number": "207-879-1646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 WESTERN AVENUE",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041062496",
            "telephone_number": "207-775-3446",
            "fax_number": "207-879-1646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "THERESE",
        "middle_name": "K",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "ME",
            "license": "013129",
            "primary": false
        },
        {
            "code": "2082S0105X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "ME",
            "license": "013129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "254460099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Portland, ME

Sources for this page

Verify at the official NPI Registry.