Active NPI
Michael Joseph White, PA-C
- Physician Assistant
- Weslaco, TX
National Provider Identifier
1124157540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA03196
- Practice address
- 1315 E 6TH St Ste 12
Weslaco, TX 78596-6635 - Phone
- (956) 447-8377
- Fax
- (956) 973-8034
- NPI assigned
- Mar 2, 2007
- Sex
- Male
- Sole proprietor
- No
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 | PA03196 | TX | Primary |
Addresses
Primary practice location
1315 E 6TH St Ste 12
Weslaco, TX 78596-6635
Mailing address
1315 E 6TH St Ste 12
Weslaco, TX 78596-6635
Phone (956) 447-8377
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- 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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Portage Physician Practices Inc | Current | Accepting new patients | |
| DLP Marquette Physician Practices Inc | Current | Accepting new patients | |
| DLP Marquette Physician Practices Inc | Current | Accepting new patients | |
| Portage Physician Practices Inc | Current | Accepting new patients |
Locations
500 Campus Dr
Ste 5
Hancock, MI 49930
Phone (906) 483-1700
420 W Magnetic St
Marquette, MI 49855
Phone (906) 225-3540
1414 W Fair Ave
Ste 344
Marquette, MI 49855
Phone (906) 225-3910
1414 W Fair Ave
Ste 36
Marquette, MI 49855
Phone (906) 225-3864
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.
-
- Internal Medicine Physician
- Hancock, MI
- NPI 1225461684
-
- Obesity Medicine (Internal Medicine) Physician
- Marquette, MI
- NPI 1487902995
-
- Rural Health Clinic/Center
- Marquette, MI
- NPI 1205635760
-
- Counselor
- Marquette, MI
- NPI 1215287362
-
- Rural Health Clinic/Center
- Calumet, MI
- NPI 1164106910
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124157540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1315 E 6TH ST STE 12",
"city": "WESLACO",
"state": "TX",
"postal_code": "785966635",
"telephone_number": "956-447-8377",
"fax_number": "956-973-8034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1315 E 6TH ST STE 12",
"city": "WESLACO",
"state": "TX",
"postal_code": "785966635",
"telephone_number": "956-447-8377",
"fax_number": "956-973-8034"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "MICHAEL",
"middle_name": "JOSEPH",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA03196",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Weslaco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.