White Rose Family Practice, LLC

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

License

MD029585 Issued in PA

Legal business name

WHITE ROSE FAMILY PRACTICE, LLC

Practice address

80 Wyntre Brooke Dr
York, PA 17403-4535

Phone

(717) 741-9462

NPI assigned

Mar 19, 2008

Last updated

Oct 22, 2012By the provider in NPPES

Organization subpart

Yes

Parent organization

MEDVANTX, INC.As reported in NPPES

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

Authorized official

Name

Kenny Heine

Title

Director of Operations

Phone

(858) 625-2990

Specialties & licenses 1

Addresses

Part of

Medvantx Inc

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Scott R. Mann, M.D.

  • Family Medicine Physician
  • York, PA
  • NPI 1073585840
  NPD
• Cathy P. Carpenter, M.D.

  • Family Medicine Physician
  • Tucson, AZ
  • NPI 1013989078
  NPD

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

{
    "created_epoch": "1205884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350864000000",
    "number": "1205007150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5626 OBERLIN DR",
            "address_2": "SUITE 110",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211705",
            "telephone_number": "858-625-2990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 WYNTRE BROOKE DR",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174034535",
            "telephone_number": "717-741-9462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE ROSE FAMILY PRACTICE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDVANTX, INC.",
        "enumeration_date": "2008-03-19",
        "last_updated": "2012-10-22",
        "status": "A",
        "authorized_official_last_name": "HEINE",
        "authorized_official_first_name": "KENNY",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "858-625-2990"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "PA",
            "license": "MD029585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• White Deer Run LLC (White Deer Run of York Outpatient)
• White Deer Run, LLC (White Deer Run of York)
• White Rose Family Chiropractic, LLC
• White Rose Family Dental LLC
• White Rose Family Practice LLC
• White Rose Home Health
• White Rose OB/GYN Associates
• White Rose Physical Therapy, P.C.
• White Rose Surgical Associates LTD
• Adrienne Nicole White

• Non-Pharmacy Dispensing Site in York, PA
• Providers in York, PA by specialty
• Non-Pharmacy Dispensing Site in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.