Individual provider Active NPI

Virginia O White

  • Obstetrics & Gynecology Physician
  • Puyallup, WA
National Provider Identifier
1124522156
Registry record updated Apr 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD218827 Issued in OR
Practice address
1450 5TH St SE Ste 3200
Puyallup, WA 98372-4689
Phone
(253) 697-3550
NPI assigned
Mar 23, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD.MD.61282375 WA
Student in an Organized Health Care Education/Training Program 390200000X NY
Obstetrics & Gynecology Physician 207V00000X MD218827 OR Primary

Addresses

Primary practice location

1450 5TH St SE Ste 3200
Puyallup, WA 98372-4689

Mailing address

1450 5TH St SE Ste 3200
Puyallup, WA 98372-4689
Phone (253) 697-3550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220909002829 WA Practitioner - Obstetrics/Gynecology 6204170574 Reassigns benefits to 4 organizations
I20240410000528 OR Practitioner - Obstetrics/Gynecology 6204170574 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Clinics LLCGroup PAC ID 0244144004, 714 clinicians
Obhg Washington PCGroup PAC ID 0345364642, 44 clinicians

Practice addresses (Care Compare)

2801 N Gantenbein Ave
Portland, OR 97227-1623
Phone (503) 413-2200

400 NE Mother Joseph PL
Vancouver, WA 98664-3200
Phone (864) 908-3530

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD218827ORMDObstetrics & Gynecology Physician
MD.MD.61282375WAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Salmon Creek Hospital CurrentSince Jan 23, 2025 Accepting new patients
Multicare Health System CurrentSince Aug 15, 2022 Accepting new patients
Legacy Clinics LLC CurrentSince Apr 1, 2024 Accepting new patients
Peacehealth CurrentSince May 20, 2024 Accepting new patients
Legacy Salmon Creek Hospital Obstetrics & Gynecology CurrentSince Jan 23, 2025 Accepting new patients
Multicare Health System CurrentSince Aug 15, 2022 Accepting new patients
Multicare Health System Current Accepting new patients
Obhg Washington, PC Obstetrics & Gynecology CurrentSince Jan 3, 2024 Accepting new patients
Peacehealth Past Accepting new patients
Legacy Emanuel Hospital & Health Center Past Accepting new patients
Multicare Health System PastSince Aug 28, 2022 Accepting new patients

Locations

2801 N Gantenbein Ave
Portland, OR 97227
Phone (503) 413-2200

1919 NW Lovejoy St
Portland, OR 97209
Phone (503) 415-5600

1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134

34515 9th Ave S
Federal Way, WA 98003
Phone (253) 835-8100

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

1800 NW Myhre Rd
Silverdale, WA 98383
Phone (360) 337-8800

1115 SE 164th Ave
Dept 364
Vancouver, WA 98683
Phone (360) 735-8100

505 NE 87th Ave
Ste 301
Vancouver, WA 98664
Phone (360) 514-1854

400 NE Mother Joseph Pl
Vancouver, WA 98664
Phone (360) 514-2000

505 NE 87th Ave
Ste 160
Vancouver, WA 98664
Phone (360) 256-4500

2211 NE 139th St
Vancouver, WA 98686
Phone (360) 397-1985

Interoperability endpoints

  • Direct secure messaging: vwhite673056@direct.multicare.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1521763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712188800000",
    "number": "1124522156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 5TH ST SE STE 3200",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983724689",
            "telephone_number": "253-697-3550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 5TH ST SE STE 3200",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983724689",
            "telephone_number": "253-697-3550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "VIRGINIA",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-23",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WA",
            "license": "MD.MD.61282375",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OR",
            "license": "MD218827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

Verify at the official NPI Registry.