Active NPI
Jeffrey White, MD
- Family Medicine Physician
- Louisville, KY
National Provider Identifier
1295816957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 25838
- Practice address
- 2400 Eastpoint Pkwy
Ste 100
Louisville, KY 40223-4154 - Phone
- (502) 210-4800
- Fax
- (502) 210-4810
- NPI assigned
- Oct 18, 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 25838 | KY | Primary |
Addresses
Primary practice location
2400 Eastpoint Pkwy
Ste 100
Louisville, KY 40223-4154
Mailing address
PO Box 950248
Louisville, KY 40295-0248
Phone (502) 489-5730
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000191248 | Other | KY | BLUE CROSS FACETS ID |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25838 | KY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Medical Associates, Inc. | Family Medicine | Past | Accepting new patients |
| Louisville Emergency Medicine Associates PSC | Past | Accepting new patients | |
| Norton Enterprises, Inc. | Past | Accepting new patients |
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.
-
- Internal Medicine Physician
- Louisville, KY
- NPI 1588614994
Family Medicine
-
dba Louisville Emergency Medicine Associates
- Emergency Medicine Physician
- Louisville, KY
- NPI 1487604641
-
- Urgent Care Clinic/Center
- Louisville, KY
- NPI 1104863562
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421452800000",
"number": "1295816957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 950248",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402950248",
"telephone_number": "502-489-5730",
"fax_number": "502-489-5753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 EASTPOINT PKWY",
"address_2": "STE 100",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402234154",
"telephone_number": "502-210-4800",
"fax_number": "502-210-4810"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "JEFFREY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-18",
"last_updated": "2015-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KY",
"license": "25838",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS FACETS ID",
"identifier": "000000191248",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.