Active NPI
Michael White
- Prosthetics Case Management
- Owings Mills, MD
National Provider Identifier
1285379560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetics Case Management
- License
- 13156
- Practice address
- 10200 Grand Central Ave
Owings Mills, MD 21117-4165 - Phone
- (718) 913-4114
- NPI assigned
- May 2, 2022
- Last updated
- May 2, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Prosthetics Case Management | 1744P3200X | 13156 | MD | Primary |
Addresses
Primary practice location
10200 Grand Central Ave
Owings Mills, MD 21117-4165
Mailing address
221 Skyline Dr # 208-356
East Stroudsburg, PA 18301-1352
Phone (718) 913-4114
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13156 | MD | MD | Prosthetics Case Management |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651449600000",
"number": "1285379560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "221 SKYLINE DR # 208-356",
"city": "EAST STROUDSBURG",
"state": "PA",
"postal_code": "183011352",
"telephone_number": "718-913-4114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10200 GRAND CENTRAL AVE",
"city": "OWINGS MILLS",
"state": "MD",
"postal_code": "211174165",
"telephone_number": "718-913-4114"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "MICHAEL",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-05-02",
"last_updated": "2022-05-02",
"certification_date": "2022-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "1744P3200X",
"taxonomy_group": "",
"desc": "Specialist, Prosthetics Case Management",
"state": "MD",
"license": "13156",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Owings Mills, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.