Individual provider Active NPI

Edward L White, M.D.

  • Family Medicine Physician
  • Mountain Home, AR
National Provider Identifier
1144294992
Registry record updated Nov 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C-8151 Issued in AR
Practice address
614 Northtown
Mountain Home, AR 72653-3105
Phone
(870) 425-3131
Fax
(870) 425-3136
NPI assigned
Feb 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X C-8151 AR Primary

Addresses

Primary practice location

614 Northtown
Mountain Home, AR 72653-3105

Mailing address

614 Northtown
Mountain Home, AR 72653-3105
Phone (870) 425-3131

Other identifiers 1

IdentifierTypeStateIssuer
121436001MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20100507000503 AR Practitioner - Family Practice 9739283037 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Arkansas College of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Central Arkansas Medical AssociatesGroup PAC ID 0749384048, 9 clinicians

Practice addresses (Care Compare)

614 N Town
Mountain Home, AR 72653-3105
Phone (870) 425-3131

Hospital & facility affiliations

  • Baxter Health Home Health Home health agency, Cotter, AR, CCN 047016
  • Elite Home Health Home health agency, Salem, AR, CCN 047115
  • Centerwell Home Health Home health agency, Melbourne, AR, CCN 047870
  • Centerwell Home Health Home health agency, Rolla, MO, CCN 267098
  • Baxter Health Hospital, Mountain Home, AR, CCN 040027

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions24
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Hospital Inc Past Accepting new patients
Ozarks Medical Center Family Medicine Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ewhite@ncamedical.gwaydirect.com

Organizations & group practices 3

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 6

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": "1140048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258502400000",
    "number": "1144294992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 NORTHTOWN",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726533105",
            "telephone_number": "870-425-3131",
            "fax_number": "870-425-3136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 NORTHTOWN",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726533105",
            "telephone_number": "870-425-3131",
            "fax_number": "870-425-3136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "EDWARD",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-16",
        "last_updated": "2009-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "C-8151",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121436001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain Home, AR

Sources for this page

Verify at the official NPI Registry.