Active NPI
Donna Joan White, PA-C
- Physician Assistant
- Holland, MI
National Provider Identifier
1487693669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5601002835
- Practice address
- 3290 N Wellness Dr
Suite 180 Building D
Holland, MI 49424-7259 - Phone
- (616) 738-4262
- Fax
- (616) 738-4266
- NPI assigned
- Jun 5, 2006
- Last updated
- Mar 19, 2014
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5601002835 | MI | Primary |
Addresses
Primary practice location
3290 N Wellness Dr
Suite 180 Building D
Holland, MI 49424-7259
Mailing address
3290 N Wellness Dr
Suite 180 Building D
Holland, MI 49424-7259
Phone (616) 738-4262
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)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bronson South Haven Hospital | Past | Accepting new patients | |
| Holland Community Hospital | Physician Assistant | Past | Accepting new patients |
| Bronson South Haven Hospital | Past | Accepting new patients | |
| Nicole Boxer, MD, PC | Past | Accepting new patients |
Organizations & group practices 4
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.
-
dba Bronson Medical Group
- Family Medicine Physician
- South Haven, MI
- NPI 1174749170
-
- General Acute Care Hospital
- South Haven, MI
- NPI 1346275856
-
- Family Medicine Physician
- Douglas, MI
- NPI 1629185459
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395187200000",
"number": "1487693669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3290 N WELLNESS DR",
"address_2": "SUITE 180 BUILDING D",
"city": "HOLLAND",
"state": "MI",
"postal_code": "494247259",
"telephone_number": "616-738-4262",
"fax_number": "616-738-4266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3290 N WELLNESS DR",
"address_2": "SUITE 180 BUILDING D",
"city": "HOLLAND",
"state": "MI",
"postal_code": "494247259",
"telephone_number": "616-738-4262",
"fax_number": "616-738-4266"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "DONNA",
"middle_name": "JOAN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-05",
"last_updated": "2014-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "5601002835",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Holland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.