Organization Active NPI

Michael J White MD, LLC

  • Clinic/Center
  • Newberry, SC
National Provider Identifier
1235377508
Registry record updated May 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
MICHAEL J WHITE MD, LLC
Practice address
1812 Johnstone St
Newberry, SC 29108-3958
Phone
(803) 405-1711
NPI assigned
Jan 26, 2009
Last updated
May 4, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2009

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

Authorized official

Name
Dr. Michael J White, MD
Title
Owner
Phone
(803) 405-1711

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

1812 Johnstone St
Newberry, SC 29108-3958

Mailing address

1812 Johnstone St
Newberry, SC 29108-3958
Phone (803) 405-1711

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1232928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241395200000",
    "number": "1235377508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1812 JOHNSTONE ST",
            "city": "NEWBERRY",
            "state": "SC",
            "postal_code": "291083958",
            "telephone_number": "803-405-1711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1812 JOHNSTONE ST",
            "city": "NEWBERRY",
            "state": "SC",
            "postal_code": "291083958",
            "telephone_number": "803-405-1711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL J WHITE MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-26",
        "last_updated": "2009-05-04",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-405-1711",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newberry, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2009; 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.