NPIMap

Individual provider Active NPI

Holly Richelle Furdge-White, MD

  • Internal Medicine Physician
  • Fishers, IN
National Provider Identifier
1336363589
Registry record updated Nov 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
01071098A Issued in IN
Practice address
7199 Easy St
Fishers, IN 46038-2641
Phone
(317) 415-6110
NPI assigned
Apr 12, 2007
Last updated
Nov 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01071098A IN Primary

Addresses

Primary practice location

7199 Easy St
Fishers, IN 46038-2641

Mailing address

7199 Easy St
Fishers, IN 46038-2641

Other names 1

  • Holly Richelle Furdge Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120518000090 IN Practitioner - Internal Medicine 4688742067 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Arkansas College of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Royale Internal Medicine LLCGroup PAC ID 0345473153, 6 clinicians
US Therapy IncGroup PAC ID 6507893187, 81 clinicians

Practice addresses (Care Compare)

1910 W Royale Dr
Muncie, IN 47304-2264
Phone (765) 289-1011

3607 N Everbrook LN
Muncie, IN 47304-5220

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01071098AINMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Royale Internal Medicine, LLC Internal Medicine CurrentSince Oct 1, 2023 Accepting new patients
Rainmaker Production Services, LLC Internal Medicine Current Accepting new patients
M & M Internal Medicine, LLC Internal Medicine Current Accepting new patients
Lana Bucchino LLC Current Accepting new patients
Wellcare Medical, LLC Internal Medicine Current Accepting new patients
Major Hospital Past Accepting new patients
Cogent Healthcare of Mississippi, Inc Internal Medicine Past Accepting new patients
Major Medical Group LLC Past Accepting new patients

Locations

1910 W Royale Dr
Muncie, IN 47304
Phone (765) 289-1011

Interoperability endpoints

  • Direct secure messaging: hollywhite@ia.allscriptsdirect.net

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700179200000",
    "number": "1336363589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7199 EASY ST",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460382641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7199 EASY ST",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460382641",
            "telephone_number": "317-415-6110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FURDGE-WHITE",
        "first_name": "HOLLY",
        "middle_name": "RICHELLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-12",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01071098A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HOLLY",
            "last_name": "FURDGE",
            "middle_name": "RICHELLE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fishers, IN

Sources for this page

Verify at the official NPI Registry.