Active NPI
Elaine Candace White, M.D.
- Pediatrics Physician
- Indianapolis, IN
National Provider Identifier
1164697827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 01050940
- Practice address
- 3401 E Raymond St
Indianapolis, IN 46203-4744 - Phone
- (317) 788-9769
- Fax
- (317) 781-4868
- NPI assigned
- Apr 24, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 01050940 | IN | |
| Pediatrics Physician | 208000000X | 01050940 | IN | Primary |
Addresses
Primary practice location
3401 E Raymond St
Indianapolis, IN 46203-4744
Mailing address
3401 E Raymond St
Indianapolis, IN 46203-4744
Phone (317) 788-9769
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200394910 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Major Hospital | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208995200000",
"number": "1164697827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3401 E RAYMOND ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462034744",
"telephone_number": "317-788-9769",
"fax_number": "317-781-4868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3401 E RAYMOND ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462034744",
"telephone_number": "317-788-9769",
"fax_number": "317-781-4868"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "ELAINE",
"middle_name": "CANDACE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-24",
"last_updated": "2008-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IN",
"license": "01050940",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IN",
"license": "01050940",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200394910",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.