Active NPI
John C. White, M.D.
- Emergency Medicine Physician
- Ashland, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 37688-20
- Practice address
- 1615 Maple Lane
Ashland, WI 54806 - Phone
- (715) 685-5513
- Fax
- (718) 682-4022
- NPI assigned
- Jul 21, 2005
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 37688 | WI | |
| Emergency Medicine Physician | 207P00000X | MD23757 | ME | |
| Family Medicine Physician | 207Q00000X | 37688-20 | WI | |
| Family Medicine Physician | 207Q00000X | 37688-020 | WI | |
| Emergency Medicine Physician | 207P00000X | 37688-20 | WI | Primary |
Addresses
Primary practice location
1615 Maple Lane
Ashland, WI 54806
Mailing address
1615 Maple Lane
Ashland, WI 54806
Phone (715) 685-5513
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 390908320 | Other | STANDARD TAX ID NUMB | |
| 0124793 | Other | MEDICA PROVIDER NUMB | |
| 32252000 | Other | GROUP HEALTH OF EAU | |
| P00341834 | Other | PALMETTO GBA RR ME | |
| 32252000 | Medicaid | WI | |
| 314P8WH | Other | BLUE CROSS BLUE SHIE | |
| G28181 | Other | AMERICAS PPO | |
| HP60964 | Other | HEALTH PARTNERS | |
| 1011768 | Other | PREFERRED ONE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Maryland School of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1615 Maple LN
Ashland, WI 54806-3626
1615 Maple LN
Ashland, WI 54806-3689
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.19 of 100
- Quality
- 74.89
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37688-020 | WI | MD | Family Medicine Physician |
| 37688-20 | WI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Medical Center Inc | Current | Accepting new patients | |
| Memorial Medical Center Inc | Current | Accepting new patients | |
| Medical Services, Inc | Emergency Medicine | Current | Accepting new patients |
Locations
1615 Maple Ln
Ashland, WI 54806
Phone (715) 682-4563
11040 N State Road 77
Hayward, WI 54843
Phone (715) 934-4244
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Tamarack Health Hayward Medical Center
- Critical Access Hospital
- Hayward, WI
- NPI 1912992827
Emergency Medicine
-
dba Tamarack Health Ashland Medical Center
- Critical Access Hospital
- Ashland, WI
- NPI 1437179231
-
dba Tamarack Health Ashland Clinic
- Rural Health Clinic/Center
- Ashland, WI
- NPI 1770255937
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Tamarack Health Ashland Medical Center
- Critical Access Hospital
- Ashland, WI
- NPI 1437179231
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606176000000",
"number": "1275533176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1615 MAPLE LANE",
"city": "ASHLAND",
"state": "WI",
"postal_code": "54806",
"telephone_number": "715-685-5513",
"fax_number": "718-682-4022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1615 MAPLE LANE",
"city": "ASHLAND",
"state": "WI",
"postal_code": "54806",
"telephone_number": "715-685-5513",
"fax_number": "718-682-4022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "JOHN",
"middle_name": "C.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-21",
"last_updated": "2020-11-24",
"certification_date": "2020-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WI",
"license": "37688",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "ME",
"license": "MD23757",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WI",
"license": "37688-20",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WI",
"license": "37688-020",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WI",
"license": "37688-20",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STANDARD TAX ID NUMB",
"identifier": "390908320",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA PROVIDER NUMB",
"identifier": "0124793",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP HEALTH OF EAU",
"identifier": "32252000",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO GBA RR ME",
"identifier": "P00341834",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "32252000",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIE",
"identifier": "314P8WH",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAS PPO",
"identifier": "G28181",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "HP60964",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "1011768",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ashland, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.