Individual provider Active NPI

Michelle K. White, MD

  • Otolaryngology Physician
  • Meadville, PA
National Provider Identifier
1356879894
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
MD481766 Issued in PA
Practice address
11277 Vernon PL Ste 1400
Meadville, PA 16335-3710
Phone
(814) 373-3070
Fax
(814) 373-3074
NPI assigned
May 29, 2017
Last updated
Dec 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X MD481766 PA Primary

Addresses

Primary practice location

11277 Vernon PL Ste 1400
Meadville, PA 16335-3710

Mailing address

1034 Grove St
Meadville, PA 16335-2945
Phone (814) 373-3070

Other practice location 1

315 S Erie St Ste E
Mercer, PA 16137-1555
Phone (724) 458-0511

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230829001199 PA Practitioner - Otolaryngology 9234402405 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Drexel University College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novacare Outpatient Rehabilitation East, Inc.Group PAC ID 3678480290, shared by 15 NPIs, 493 clinicians
Meadville Medical CenterGroup PAC ID 4284535790, 139 clinicians

Practice addresses (Care Compare)

1012 Water St
Meadville, PA 16335-3468
Phone (814) 337-2345

1034 Grove St
Meadville, PA 16335-2945

11277 Vernon PL MMC ENT
Suite 1400
Meadville, PA 16335-3717
Phone (814) 373-3070

315 S Erie St
Suite E MMC ENT
Mercer, PA 16137-1555
Phone (724) 458-0511

647 N Broad St Ext
Grove City, PA 16127-4604
Phone (724) 458-0511

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD481766PAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Meadville Medical Center CurrentSince Jun 15, 2024 Accepting new patients
Meadville Medical Center Otolaryngology CurrentSince Jun 15, 2024 Accepting new patients
Crawford County ENT PC Otolaryngology CurrentSince Sep 1, 2023 Accepting new patients
Meadville Medical Center Past Accepting new patients

Locations

647 N Broad Street Ext
Ste 206
Grove City, PA 16127
Phone (724) 450-7004

1034 Grove St
Meadville, PA 16335
Phone (814) 333-5728

11277 Vernon Pl
Ste 1400
Meadville, PA 16335
Phone (814) 333-5100

505 Poplar St
Ste 110
Meadville, PA 16335
Phone (814) 373-3070

751 Liberty St
Meadville, PA 16335
Phone (814) 333-5081

315 S Erie St
Ste E
Mercer, PA 16137
Phone (724) 458-0511

Interoperability endpoints

  • Direct secure messaging: mwhite64319@direct.southcoast.org

Organizations & group practices 4

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 2

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": "1496016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1356879894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1034 GROVE ST",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163352945",
            "telephone_number": "814-373-3070",
            "fax_number": "814-373-3074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11277 VERNON PL STE 1400",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163353710",
            "telephone_number": "814-373-3070",
            "fax_number": "814-373-3074"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "315 S Erie St Ste E",
            "address_purpose": "LOCATION",
            "city": "Mercer",
            "state": "PA",
            "postal_code": "161371555",
            "country_code": "US",
            "telephone_number": "724-458-0511",
            "fax_number": "724-458-1517",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITE",
        "first_name": "MICHELLE",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-29",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "PA",
            "license": "MD481766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meadville, PA

Sources for this page

Verify at the official NPI Registry.