Active NPI
Joe Mike White, MD
- Family Medicine Physician
- Joshua, TX
National Provider Identifier
1487650123
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- F6345
- Practice address
- 3517 SW Wilshire Blvd
Joshua, TX 76058-9659 - Phone
- (817) 447-1151
- Fax
- (817) 529-8927
- NPI assigned
- Jun 27, 2005
- Last updated
- Jan 12, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | F6345 | TX | Primary |
Addresses
Primary practice location
3517 SW Wilshire Blvd
Joshua, TX 76058-9659
Mailing address
220 N Ridgeway Dr
Cleburne, TX 76033-4115
Phone (817) 556-4800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 121078303 | Medicaid | TX |
Other names 1
- J Mike White
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- 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 |
|---|---|---|---|
| F6345 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jackson County Memorial Hospital Authority | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Sherman, TX
- NPI 1801893656
-
- General Acute Care Hospital
- Altus, OK
- NPI 1093763781
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1515715200000",
"number": "1487650123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 N RIDGEWAY DR",
"city": "CLEBURNE",
"state": "TX",
"postal_code": "760334115",
"telephone_number": "817-556-4800",
"fax_number": "817-556-4825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3517 SW WILSHIRE BLVD",
"city": "JOSHUA",
"state": "TX",
"postal_code": "760589659",
"telephone_number": "817-447-1151",
"fax_number": "817-529-8927"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "JOE",
"middle_name": "MIKE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-27",
"last_updated": "2018-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "F6345",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "121078303",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "J",
"last_name": "WHITE",
"middle_name": "MIKE",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Joshua, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2018; 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.