Active NPI
David M White, M.D.
- Surgery Physician
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD00034378
- Practice address
- 1101 Madison St Ste 301
Seattle, WA 98104-3599 - Phone
- (206) 505-1300
- NPI assigned
- Mar 9, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD24006 | OR | |
| Surgery Physician | 208600000X | MD00034378 | WA | Primary |
Addresses
Primary practice location
1101 Madison St Ste 301
Seattle, WA 98104-3599
Mailing address
1101 Madison St Ste 301
Seattle, WA 98104-3599
Other practice location 1
3377 Riverbend Dr
Springfield, OR 97477-8803
Phone (541) 222-8951
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 286694 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD24006 | OR | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacmed Clinics | Current | Accepting new patients | |
| Pacmed Clinics | Current | Accepting new patients |
Locations
1909 214th St SE
Ste 300
Bothell, WA 98021
Phone (425) 412-6335
220 15th Ave SE
Puyallup, WA 98372
Phone (253) 435-3400
601 S Carr Rd
Ste 100
Renton, WA 98055
Phone (425) 227-3700
1200 12th Ave S
Seattle, WA 98144
Phone (206) 326-2400
10416 5th Ave NE
Seattle, WA 98125
Phone (206) 517-6667
1101 Madison St
Ste 301
Seattle, WA 98104
Phone (206) 505-1101
Interoperability endpoints
- dwhite1043616@wm.providencedirect.org
Organizations & group practices 2
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.
-
- Multi-Specialty Clinic/Center
- Seattle, WA
- NPI 1013061217
-
- Multi-Specialty Clinic/Center
- Renton, WA
- NPI 1720023641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581638400000",
"number": "1396713962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 MADISON ST STE 301",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981043599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 MADISON ST STE 301",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981043599",
"telephone_number": "206-505-1300"
}
],
"practiceLocations": [
{
"address_1": "3377 Riverbend Dr",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "OR",
"postal_code": "974778803",
"country_code": "US",
"telephone_number": "541-222-8951",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WHITE",
"first_name": "DAVID",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-09",
"last_updated": "2020-02-14",
"certification_date": "2020-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OR",
"license": "MD24006",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "WA",
"license": "MD00034378",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "286694",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.