Active NPI
Erin Wiseman White, PA
- Medical Physician Assistant
- Oviedo, FL
National Provider Identifier
1356535074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA9104307
- Practice address
- 100 Alexandria Blvd
Suite 1
Oviedo, FL 32765-8298 - Phone
- (407) 359-7997
- Fax
- (407) 359-6662
- NPI assigned
- Sep 6, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA9104307 | FL | Primary |
Addresses
Primary practice location
100 Alexandria Blvd
Suite 1
Oviedo, FL 32765-8298
Mailing address
100 Alexandria Blvd
Suite 1
Oviedo, FL 32765-8298
Phone (407) 359-7997
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9104307 | FL | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203897600000",
"number": "1356535074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 ALEXANDRIA BLVD",
"address_2": "SUITE 1",
"city": "OVIEDO",
"state": "FL",
"postal_code": "327658298",
"telephone_number": "407-359-7997",
"fax_number": "407-359-6662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 ALEXANDRIA BLVD",
"address_2": "SUITE 1",
"city": "OVIEDO",
"state": "FL",
"postal_code": "327658298",
"telephone_number": "407-359-7997",
"fax_number": "407-359-6662"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "ERIN",
"middle_name": "WISEMAN",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-06",
"last_updated": "2008-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "FL",
"license": "PA9104307",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oviedo, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.