Individual provider Active NPI

Rachel Marie White, D.O.

  • Dermatology Physician
  • Furlong, PA
National Provider Identifier
1447633490
Registry record updated Dec 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
OS020049 Issued in PA
Practice address
2325 Heritage Center Dr Ste 119
Furlong, PA 18925-1262
Phone
(267) 824-4400
Fax
(267) 824-4600
NPI assigned
Jul 8, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X UO4480 FL
Dermatology Physician 207N00000X OS020049 PA Primary

Addresses

Primary practice location

2325 Heritage Center Dr Ste 119
Furlong, PA 18925-1262

Mailing address

2325 Heritage Center Dr Ste 119
Furlong, PA 18925-1262
Phone (267) 824-4400

Other practice location 1

7031 SW 62nd Ave
South Miami, FL 33143-4701
Phone (305) 283-7596

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
I20200110001384 PA Practitioner - Dermatology 9234564741 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Philadelphia College of Osteopathic Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
RW DermatologyGroup PAC ID 6608201116, 3 clinicians

Practice addresses (Care Compare)

2325 Heritage Ctr Dr
Suite 119
Furlong, PA 18925-1262
Phone (267) 824-4400

Merit-based Incentive Payment System (MIPS)

Final score
92.18 of 100Reported as individual
Quality
84.35
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision65
Removal of tissue1-10
Removal of skin lesions610
Removal of nail tissue1-10
Removal or shaving of skin growth18
Skin biopsy360

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
UO4480FLMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
RW Dermatology Dermatology CurrentSince Nov 1, 2019 Accepting new patients

Locations

2325 Heritage Center Dr
Ste 119
Furlong, PA 18925
Phone (267) 824-4400

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1436313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577664000000",
    "number": "1447633490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2325 HERITAGE CENTER DR STE 119",
            "city": "FURLONG",
            "state": "PA",
            "postal_code": "189251262",
            "telephone_number": "267-824-4400",
            "fax_number": "267-824-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2325 HERITAGE CENTER DR STE 119",
            "city": "FURLONG",
            "state": "PA",
            "postal_code": "189251262",
            "telephone_number": "267-824-4400",
            "fax_number": "267-824-4600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7031 SW 62nd Ave",
            "address_purpose": "LOCATION",
            "city": "South Miami",
            "state": "FL",
            "postal_code": "331434701",
            "country_code": "US",
            "telephone_number": "305-283-7596",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITE",
        "first_name": "RACHEL",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-08",
        "last_updated": "2019-12-30",
        "certification_date": "2019-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "UO4480",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PA",
            "license": "OS020049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Furlong, PA

Sources for this page

Verify at the official NPI Registry.