Active NPI
Deborah Susan White, M.D.
- Internal Medicine Physician
- Tampa, FL
National Provider Identifier
1437155603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME80789
- Practice address
- 12780 Race Track Rd
Ste 300
Tampa, FL 33626-1395 - Phone
- (813) 792-9541
- Fax
- (813) 443-8170
- NPI assigned
- Jun 22, 2005
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME80789 | FL | Primary |
Addresses
Primary practice location
12780 Race Track Rd
Ste 300
Tampa, FL 33626-1395
Mailing address
4902 Eisenhower Blvd
Suite 300
Tampa, FL 33634-6344
Phone (813) 636-2000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 259670900 | Medicaid | FL |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME80789 | FL | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414540800000",
"number": "1437155603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4902 EISENHOWER BLVD",
"address_2": "SUITE 300",
"city": "TAMPA",
"state": "FL",
"postal_code": "336346344",
"telephone_number": "813-636-2000",
"fax_number": "813-443-8170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12780 RACE TRACK RD",
"address_2": "STE 300",
"city": "TAMPA",
"state": "FL",
"postal_code": "336261395",
"telephone_number": "813-792-9541",
"fax_number": "813-443-8170"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "DEBORAH",
"middle_name": "SUSAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-22",
"last_updated": "2014-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME80789",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "259670900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.