Individual provider Active NPI

William White Jr., PA-C

  • Medical Physician Assistant
  • Bedford, NH
National Provider Identifier
1447667753
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
1387 Issued in NH
Practice address
116 S River Rd Unit D2
Bedford, NH 03110-6734
Phone
(603) 450-0111
Fax
(888) 992-0918
NPI assigned
Jul 18, 2014
Last updated
Jan 15, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU
Physician Assistant 363A00000X 0110004753 VA
Medical Physician Assistant 363AM0700X PA9116331 FL
Medical Physician Assistant 363AM0700X C5-0011777 DE
Medical Physician Assistant 363AM0700X 5863 CT
Medical Physician Assistant 363AM0700X PA2357 ME
Medical Physician Assistant 363AM0700X MCS002474J MA
Medical Physician Assistant 363AM0700X 1387 NH Primary

Addresses

Primary practice location

116 S River Rd Unit D2
Bedford, NH 03110-6734

Mailing address

116 S River Rd Unit D2
Bedford, NH 03110-6734
Phone (603) 450-0111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, DE, FL, MA, ME5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20180905001066 NH Practitioner - Physician Assistant 5799002341 Reassigns benefits to 2 organizations
I20220927000603 DE Practitioner - Physician Assistant 5799002341 Reassigns benefits to 1 organization
I20221012000120 FL Practitioner - Physician Assistant 5799002341 Reassigns benefits to 1 organization
I20221020002719 MA Practitioner - Physician Assistant 5799002341 Reassigns benefits to 3 organizations
I20230405000387 ME Practitioner - Physician Assistant 5799002341 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
May accept Medicare assignment
Group practices
Clearchoicemd, PLLCGroup PAC ID 1850510058, 85 clinicians
Alliance Urgent Care Services LLCGroup PAC ID 6305181215, 25 clinicians

Practice addresses (Care Compare)

1 Beehive Dr
Epping, NH 03042-3310
Phone (603) 526-4635

410 Miracle Mile
Lebanon, NH 03766-2639
Phone (603) 276-3260

558 Mast Rd
Goffstown, NH 03045-5256
Phone (603) 232-1790

7 Cinemagic Way
Hooksett, NH 03106-1088
Phone (603) 526-4635

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0110004753VAMDPhysician Assistant
5863CTMDMedical Physician Assistant
C5-0011777DEMDMedical Physician Assistant
PA9116331FLMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
NPI 1497286280 CurrentSince Jul 26, 2023 Accepting new patients
Carewell Urgent Care Centers of Ma, PC CurrentSince Jul 26, 2023 Accepting new patients
NPI 1740606425 CurrentSince Jul 26, 2023 Accepting new patients
Clearchoicemd, PLLC CurrentSince Dec 28, 2019 Accepting new patients
Integrated Health Alliance, PLLC CurrentSince Jan 19, 2025 Accepting new patients
Clearchoicemd Primary Care PLLC Past Accepting new patients

Locations

757 Boston Post Rd E
Marlborough, MA 01752
Phone (508) 630-8989

484 Route 134
South Dennis, MA 02660
Phone (508) 694-7901

273 Payne Rd
Scarborough, ME 04074
Phone (207) 289-6133

116 S River Rd
Unit D2
Bedford, NH 03110
Phone (603) 371-9402

10 Ferry St
Ste 302
Concord, NH 03301

410 Miracle Mile
Lebanon, NH 03766
Phone (603) 276-3260

33 Railroad St
Lincoln, NH 03251
Phone (603) 607-6040

127 Plaistow Rd
Ste 1
Plaistow, NH 03865
Phone (603) 797-9289

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1405641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1447667753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 S RIVER RD UNIT D2",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106734",
            "telephone_number": "603-450-0111",
            "fax_number": "888-992-0918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 S RIVER RD UNIT D2",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106734",
            "telephone_number": "603-450-0111",
            "fax_number": "888-992-0918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "WILLIAM",
        "name_suffix": "Jr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-18",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110004753",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9116331",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "DE",
            "license": "C5-0011777",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CT",
            "license": "5863",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "ME",
            "license": "PA2357",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MA",
            "license": "MCS002474J",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NH",
            "license": "1387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, NH

Sources for this page

Verify at the official NPI Registry.