Organization Active NPI

Kermit E. White MD PC

  • General Practice Physician
  • Farmington Hills, MI
National Provider Identifier
1164784815
Registry record updated Jun 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
KERMIT E. WHITE MD PC
Practice address
33000 Covington Club Dr
Apt 1
Farmington Hills, MI 48334-1647
Phone
(248) 504-9723
NPI assigned
Jun 8, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2012

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

Authorized official

Name
Dr. Kermit White, MD
Title
Owner
Phone
(248) 504-9723

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

33000 Covington Club Dr
Apt 1
Farmington Hills, MI 48334-1647

Mailing address

33000 Covington Club Dr
Apt 1
Farmington Hills, MI 48334-1647

National Provider Directory

National Provider Directory

Locations

17260 W 10 Mile Rd
Ste C
Southfield, MI 48075
Phone (248) 559-1333

NPI Registry JSON

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

{
    "created_epoch": "1339113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339113600000",
    "number": "1164784815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33000 COVINGTON CLUB DR",
            "address_2": "APT 1",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483341647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33000 COVINGTON CLUB DR",
            "address_2": "APT 1",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483341647",
            "telephone_number": "248-504-9723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERMIT E. WHITE MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-08",
        "last_updated": "2012-06-08",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "KERMIT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-504-9723",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.