Patrick White LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PATRICK WHITE LLC

Practice address

19301 Watkins Mill Rd
Montgomery Village, MD 20886-6914

Phone

(410) 745-9509

NPI assigned

Mar 1, 2024

Last updated

Mar 1, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Patrick W White, MDNPI 1508929571

Title

Owner

Phone

(410) 746-9509

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Patrick William White, M.D.

  • Legal Medicine
  • Montgomery Village, MD
  • NPI 1508929571

  DC

  Medicare reassignment NPD Authorized official
• Toni R Eller, OD

  • Optometrist
  • Muscatine, IA
  • NPI 1306840715
  NPD (past)
• Ian Hui, O.D.

  • Optometrist
  • Iowa City, IA
  • NPI 1275910697
  NPD (past)
• Sean Patrick O'Neill, O.D.

  • Optometrist
  • Iowa City, IA
  • NPI 1124165089
  NPD (past)
• Chris M Scholz, OD

  • Optometrist
  • Muscatine, IA
  • NPI 1649274051
  NPD (past)
• Patrick Walsh

  • Optometrist
  • Muscatine, IA
  • NPI 1508279266
  NPD (past)

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

{
    "created_epoch": "1709251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709251200000",
    "number": "1508623034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 PEBBLE BEACH DR",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210427604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19301 WATKINS MILL RD",
            "city": "MONTGOMERY VILLAGE",
            "state": "MD",
            "postal_code": "208866914",
            "telephone_number": "410-745-9509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK WHITE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-01",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-746-9509",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Parisa Partovi-Tabar, D.D.S
• Bankim J Patel, RPH
• Bhoomi Bharat Patel, OD
• Sonia Amin Patel, PHD
• Patricia Decesare LLC
• Jacob Clifford Pawela
• Monica Susan Perretta, RD, LD
• Boshra Peyrovi
• Kingsley Ndekeh Piengong
• Jill Pincus

• Internal Medicine Physician in Montgomery Village, MD
• Providers in Montgomery Village, MD by specialty
• Internal Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.