Olivia M White, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

125070737 Issued in IL

Practice address

515 E Grant St Ste 211
Macomb, IL 61455-3378

Phone

(309) 833-3706

Fax

(309) 836-1039

NPI assigned

Jun 6, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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

Specialty

General Surgery

Education

Illinois Medical College, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

McDonough County Hospital District 42 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• MC Donough District Hospital Hospital, Macomb, IL, CCN 140089

Procedures performed for Medicare patients

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.

• McDonough County Hospital District

  • Internal Medicine Physician
  • Macomb, IL
  • NPI 1609180082

  IL

  Medicare reassignment Care Compare group NPD
• McDonough County Hospital District

  • Community/Retail Pharmacy
  • Macomb, IL
  • NPI 1245098458
  Care Compare group NPD
• McDonough County Hospital District

  • Home Health Agency
  • Macomb, IL
  • NPI 1164470191
  Care Compare group
• McDonough County Hospital District

  • Rural Health Clinic/Center
  • Macomb, IL
  • NPI 1235755372
  Care Compare group
• McDonough County Hospital District

  • Anatomic Pathology & Clinical Pathology Physician
  • Macomb, IL
  • NPI 1396055869
  Care Compare group
• McDonough County Hospital District

  • Community Based Hospice Care Agency
  • Macomb, IL
  • NPI 1467410282
  Care Compare group
• McDonough County Hospital District

  • General Acute Care Hospital
  • Macomb, IL
  • NPI 1669420766
  Care Compare group
• McDonough County Hospital District

  • Rural Health Clinic/Center
  • Macomb, IL
  • NPI 1770100414
  Care Compare group
• McDonough County Hospital District

  • Medicare Defined Swing Bed Hospital Unit
  • Macomb, IL
  • NPI 1851705370
  Care Compare group
• McDonough County Hospital District

  • Certified Registered Nurse Anesthetist
  • Macomb, IL
  • NPI 1871704874
  Care Compare group
• McDonough County Hospital District

  • Rural Health Clinic/Center
  • Bushnell, IL
  • NPI 1992041511
  Care Compare group
• McDonough County Hospital District

  • Skilled Nursing Facility
  • Macomb, IL
  • NPI 1841386190
  NPD (past)

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

• McDonough County Hospital District

  • General Acute Care Hospital
  • Macomb, IL
  • NPI 1669420766

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1496707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1124557939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 E GRANT ST STE 211",
            "city": "MACOMB",
            "state": "IL",
            "postal_code": "614553378",
            "telephone_number": "309-833-3706",
            "fax_number": "098-363-1039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 E GRANT ST STE 211",
            "city": "MACOMB",
            "state": "IL",
            "postal_code": "614553378",
            "telephone_number": "309-833-3706",
            "fax_number": "309-836-1039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "OLIVIA",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-06",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "125070737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Western Illinois Surgical Associates, S.C.
• Western Illinois University
• Western Illinois University Speech Language Hearing Clinic
• Ronald D. Wheeler, M.D.
• Drake B White, MD
• Shelbi Leigh White, CCC-SLP
• Candice Leah Wietholder, COTA/L
• Timothy Lee Williams, O.D.
• Tonny Jill Williamson, D.D.S.
• Megan Winters, D.C.

• All providers in Macomb, IL
• Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; 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.
• 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.