Active NPI
Ronald Lemond White, M.D.
- Pain Medicine Physician
- Bloomington, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- License
- 29027
- Practice address
- 888 S Auto Mall Rd
Bloomington, IN 47401-5430 - Phone
- (812) 353-2700
- NPI assigned
- Jul 25, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 12
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 01071396A | IN | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | MD425768 | PA | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 134516 | CA | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 0101240242 | VA | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | L4803 | TX | |
| Pain Medicine Physician | 208VP0000X | 29027 | MS | Primary |
| Anesthesiology Physician | 207L00000X | 01071396A | IN | |
| Anesthesiology Physician | 207L00000X | L4803 | TX | |
| Anesthesiology Physician | 207L00000X | 134516 | CA | |
| Addiction Medicine (Anesthesiology) Physician | 207LA0401X | 134516 | CA | |
| Addiction Medicine (Anesthesiology) Physician | 207LA0401X | L4803 | TX | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 39369 | KY |
Addresses
Primary practice location
888 S Auto Mall Rd
Bloomington, IN 47401-5430
Mailing address
60MDG / Pain Clinic
101 Bodin Circle
Travis Afb, CA 94535-1800
Phone (707) 423-3216
Other practice location 1
171A Butcher Rd
Vacaville, CA 95687-5656
Phone (707) 474-4433
Other practice location 2
60MDG / Pain Clinic
101 Bodin Circle
Travis AFB, CA 94535-1800
Phone (707) 423-3216
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3315 Watt Ave
Sacramento, CA 95821-3600
Phone 91648168001234
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD425768 | PA | MD | Pain Medicine (Anesthesiology) Physician |
| L4803 | TX | MD | Pain Medicine (Anesthesiology) Physician |
| 0101240242 | VA | MD | Pain Medicine (Anesthesiology) Physician |
| 29027 | MS | MD | Pain Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Anesthesia Service Exchange Medical Group, Inc. | Multi-Specialty | Current | Accepting new patients |
| Sacsolano Anesthesia Exchange Medical Group, Inc | Multi-Specialty | Current | Accepting new patients |
| First Choice Medical and Surgical Associates Inc | Multi-Specialty | Current | Accepting new patients |
Locations
2805 J St
Ste 200
Sacramento, CA 95816
Phone (916) 231-8755
3315 Watt Ave
Sacramento, CA 95821
Phone (916) 481-0777
171 Butcher Rd
#A
Vacaville, CA 95687
Phone (707) 423-2510
171 Butcher Rd
Ste A
Vacaville, CA 95687
Phone (707) 359-2255
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- Sacramento, CA
- NPI 1720401284
Multi-Specialty
-
- Anesthesiology Physician
- Sacramento, CA
- NPI 1194826404
Multi-Specialty
-
- Orthopaedic Surgery Physician
- Vacaville, CA
- NPI 1902211329
Multi-Specialty
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fairfield, CA
- NPI 1821147786
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629158400000",
"number": "1487677944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60MDG / PAIN CLINIC",
"address_2": "101 BODIN CIRCLE",
"city": "TRAVIS AFB",
"state": "CA",
"postal_code": "945351800",
"telephone_number": "707-423-3216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "888 S AUTO MALL RD",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474015430",
"telephone_number": "812-353-2700"
}
],
"practiceLocations": [
{
"address_1": "171A Butcher Rd",
"address_purpose": "LOCATION",
"city": "Vacaville",
"state": "CA",
"postal_code": "956875656",
"country_code": "US",
"telephone_number": "707-474-4433",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "60MDG / Pain Clinic",
"address_2": "101 Bodin Circle",
"address_purpose": "LOCATION",
"city": "Travis AFB",
"state": "CA",
"postal_code": "945351800",
"country_code": "US",
"telephone_number": "707-423-3216",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WHITE",
"first_name": "RONALD",
"middle_name": "LEMOND",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-25",
"last_updated": "2021-08-17",
"certification_date": "2021-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "IN",
"license": "01071396A",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "PA",
"license": "MD425768",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "CA",
"license": "134516",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "VA",
"license": "0101240242",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "TX",
"license": "L4803",
"primary": false
},
{
"code": "208VP0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Pain Medicine",
"state": "MS",
"license": "29027",
"primary": true
},
{
"code": "207L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": "IN",
"license": "01071396A",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TX",
"license": "L4803",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "134516",
"primary": false
},
{
"code": "207LA0401X",
"taxonomy_group": "",
"desc": "Anesthesiology, Addiction Medicine",
"state": "CA",
"license": "134516",
"primary": false
},
{
"code": "207LA0401X",
"taxonomy_group": "",
"desc": "Anesthesiology, Addiction Medicine",
"state": "TX",
"license": "L4803",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "KY",
"license": "39369",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bloomington, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.