Matthew Christian White, DO

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

205569 Issued in AK

Practice address

673 MDG
5955 Zeamer Ave
Jber, AK 99506

Phone

(907) 580-1815

NPI assigned

Jun 29, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• Functional Performance Chiropractic & Wellness

  • Clinic/Center
  • Omaha, NE
  • NPI 1053728451
  NPD (past)
• Schmitt Chiropractic & Rehab, Inc.

  • Chiropractor
  • Omaha, NE
  • NPI 1669731071
  NPD (past)

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

{
    "created_epoch": "1309305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1386931202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "673 MDG",
            "address_2": "5955 ZEAMER AVE",
            "city": "JBER",
            "state": "AK",
            "postal_code": "99506",
            "telephone_number": "907-580-1891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "673 MDG",
            "address_2": "5955 ZEAMER AVE",
            "city": "JBER",
            "state": "AK",
            "postal_code": "99506",
            "telephone_number": "907-580-1815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "MATTHEW",
        "middle_name": "CHRISTIAN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-29",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AK",
            "license": "205569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1679854491",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kevin T Watanabe, MS, MPH, RD, CSP
• Rachel Maria Watko, LCSW
• Kristen Lynn Watson, LCSW
• Micah Keith Watson, DO
• Jessica R White, LPN
• Ashley Nicole-Inez Williams
• Audrea Doneta Williams, M.D.
• Jack Williams, IDMT
• Ashley Nicole Wilson, RD
• Sean Miller Wilson

• Anesthesiology Physician in Jber, AK
• Providers in Jber, AK by specialty
• Anesthesiology Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.