Active NPI
Hans Jurgen White, PA
- Medical Physician Assistant
- Asheboro, NC
National Provider Identifier
1215010137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 101248
- Practice address
- 610 N Fayetteville St
Sute 103
Asheboro, NC 27203-4670 - Phone
- (336) 625-1285
- NPI assigned
- Oct 23, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 101248 | NC | Primary |
Addresses
Primary practice location
610 N Fayetteville St
Sute 103
Asheboro, NC 27203-4670
Mailing address
110 Clinton STR.
P.O. Box 1318
Mt. Gilead, NC 27306
Phone (910) 439-6406
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| $$$$$$$$$ | Other | SSN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101248 | NC | MD | Emergency Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590019200000",
"number": "1215010137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 CLINTON STR.",
"address_2": "P.O. BOX 1318",
"city": "MT. GILEAD",
"state": "NC",
"postal_code": "27306",
"telephone_number": "910-439-6406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 N FAYETTEVILLE ST",
"address_2": "SUTE 103",
"city": "ASHEBORO",
"state": "NC",
"postal_code": "272034670",
"telephone_number": "336-625-1285"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "HANS",
"middle_name": "JURGEN",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-23",
"last_updated": "2020-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NC",
"license": "101248",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SSN",
"identifier": "$$$$$$$$$",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Asheboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.