Individual provider Active NPI

Richard B White, MD

  • Family Medicine Physician
  • Lorain, OH
National Provider Identifier
1164637609
Registry record updated Nov 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35066282 Issued in OH
Practice address
5940 Oak Point Rd
Lorain, OH 44053-4100
Phone
(440) 988-3705
Fax
(440) 988-7433
NPI assigned
May 10, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2019

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 35066282 OH Primary

Addresses

Primary practice location

5940 Oak Point Rd
Lorain, OH 44053-4100

Mailing address

PO Box 636643
Cincinnati, OH 45263-6643
Phone (440) 989-3801

Other identifiers 2

IdentifierTypeStateIssuer
2318012MedicaidOH
3025372MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20100525000068 OH Practitioner - Family Practice 8426194754 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Wright State University Boonshoft School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Health Physicians Lorain LLCGroup PAC ID 1355474172, 41 clinicians

Practice addresses (Care Compare)

578 N Leavitt Rd
Amherst, OH 44001-1131
Phone (440) 988-5226

5940 Oak Point Rd
Lorain, OH 44053-4100
Phone (440) 988-3705

Hospital & facility affiliations

  • Mercy Regional Medical Center Hospital, Lorain, OH, CCN 360172

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Lorain, LLC Family Medicine CurrentSince Sep 12, 2010 Accepting new patients
Mercy Health Physicians, Lorain, LLC CurrentSince Sep 12, 2010 Accepting new patients
Mercy Health Physicians Lorain Specialty Care LLC CurrentSince Sep 1, 2021 Accepting new patients
Mercy Health Physicians Lorain Specialty Care LLC CurrentSince Sep 1, 2021 Accepting new patients

Locations

101 Cooper Foster Park Rd
Amherst, OH 44001
Phone (440) 365-7014

1957 Cooper Foster Park Rd
Amherst, OH 44001
Phone (440) 989-3801

578 N Leavitt Rd
Amherst, OH 44001
Phone (440) 960-3912

1120 E Broad St
Elyria, OH 44035
Phone (440) 365-2600

5940 Oak Point Rd
Lorain, OH 44053
Phone (440) 988-3705

Interoperability endpoints

  • Direct secure messaging: rwhite41691@direct.bsmhealth.org

Ownership & related parties

All facility ownership & control disclosures 7

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Mercy Health - Lorain HospitalLorain, OH, CCN 360172 Hospital Corporate Director Jan 1, 2022
Mercy Health - Allen HospitalOberlin, OH, CCN 361306 Hospital Corporate Director Jan 1, 2022
Mercy Health - Allen HospitalOberlin, OH, CCN 36Z306 Hospital Corporate Director Jan 1, 2022
Mercy Health-Lorain Hospital Rehabilitation CenterLorain, OH, CCN 36T172 Hospital Corporate Director Jan 1, 2022
Mercy Health - Behavioral Health, Inpatient ServicesLorain, OH, CCN 36S172 Hospital Corporate Director Jan 1, 2022
Mercy Health - Wellington Primary CareWellington, OH, CCN 363988 Rural health clinic Corporate Director Jan 1, 2022
Mercy Health - Lagrange Primary CareLagrange, OH, CCN 363989 Rural health clinic Corporate Director Jan 1, 2022

Owned or controlled facilities with NPI records 8

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

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 2

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": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572825600000",
    "number": "1164637609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 636643",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452636643",
            "telephone_number": "440-989-3801",
            "fax_number": "440-960-0264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5940 OAK POINT RD",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440534100",
            "telephone_number": "440-988-3705",
            "fax_number": "440-988-7433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "RICHARD",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-10",
        "last_updated": "2019-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35066282",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2318012",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3025372",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lorain, OH

Sources for this page

Verify at the official NPI Registry.