Active NPI
Kermit E. White MD PC
- General Practice Physician
- Farmington Hills, MI
National Provider Identifier
1164784815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 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 DirectoryLocations
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.