Active NPI
William A White, M.D.
- Emergency Medicine Physician
- Prince Frederick, MD
National Provider Identifier
1497700520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- D0040039
- Practice address
- 100 Hospital Rd
Prince Frederick, MD 20678-4017 - Phone
- (410) 535-4000
- NPI assigned
- May 24, 2006
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | D0040039 | MD | Primary |
Addresses
Primary practice location
100 Hospital Rd
Prince Frederick, MD 20678-4017
Mailing address
716 Springdale Ave
Annapolis, MD 21403-2923
Phone (443) 837-6096
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 140081YR8 | Other | MD | MEDICARE NOVITAS |
| 062781000 | Medicaid | MD |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0040039 | MD | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Joseph S. Fastow, M.D., P.a. | Past | Accepting new patients | |
| Hospital Physician Services, LLLP | 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 and National Provider Directory roles.
-
- General Acute Care Hospital
- Westminster, MD
- NPI 1457302713
-
- Critical Access Hospital
- Prince Frederick, MD
- NPI 1861443103
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409788800000",
"number": "1497700520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "716 SPRINGDALE AVE",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214032923",
"telephone_number": "443-837-6096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 HOSPITAL RD",
"city": "PRINCE FREDERICK",
"state": "MD",
"postal_code": "206784017",
"telephone_number": "410-535-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "WILLIAM",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-24",
"last_updated": "2014-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MD",
"license": "D0040039",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE NOVITAS",
"identifier": "140081YR8",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "062781000",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Prince Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.