John Bowman White III, DPM

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

License

00313 Issued in WV

Practice address

3860 Teays Valley Rd
Suite 1
Hurricane, WV 25526-9772

Phone

(304) 757-5880

Fax

(304) 757-5881

NPI assigned

Sep 23, 2005

Reactivated

Apr 12, 2006

Last updated

Mar 17, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300320000000",
    "number": "1215923495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3860 TEAYS VALLEY RD",
            "address_2": "SUITE 1",
            "city": "HURRICANE",
            "state": "WV",
            "postal_code": "255269772",
            "telephone_number": "304-757-5880",
            "fax_number": "304-757-5881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3860 TEAYS VALLEY RD",
            "address_2": "SUITE 1",
            "city": "HURRICANE",
            "state": "WV",
            "postal_code": "255269772",
            "telephone_number": "304-757-5880",
            "fax_number": "304-757-5881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "JOHN",
        "middle_name": "BOWMAN",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-23",
        "last_updated": "2011-03-17",
        "deactivation_date": "2006-03-24",
        "reactivation_date": "2006-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "WV",
            "license": "00313",
            "primary": true
        },
        {
            "code": "213ES0000X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Sports Medicine",
            "state": "WV",
            "license": "00313",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WV",
            "license": "00313",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0099970000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• West Virginia Foot Care Specialists, PLLC (WV Foot Care Specialists, PLLC)
• West Virginia Nursing Network Infusion Services, LLC
• Kylen Whipp, MD
• Courtney White, PHARM.D.
• Della D White, LMT
• Robin D. White, APRN-CNP
• Natalie Whitman, PCA
• Wilfredo N. Molano MDSC Inc
• Brittany Willard
• Catherine Whitney Williams, MSW

• Primary Podiatric Medicine Podiatrist in Hurricane, WV
• Providers in Hurricane, WV by specialty
• Primary Podiatric Medicine Podiatrist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2011; 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.