Donald C White MD PA

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

15004 Issued in KS

Legal business name

DONALD C WHITE MD PA

Practice address

1400 W 4TH St
Coffeyville, KS 67337-3306

Phone

(620) 251-5600

Fax

(620) 252-1780

NPI assigned

Feb 21, 2006

Last updated

Dec 14, 2010By 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

Donald C White, MD

Title

Owner

Phone

(620) 251-5600

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292284800000",
    "number": "1508831983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1449",
            "city": "COFFEYVILLE",
            "state": "KS",
            "postal_code": "673376749",
            "telephone_number": "620-251-5600",
            "fax_number": "620-251-2780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 W 4TH ST",
            "city": "COFFEYVILLE",
            "state": "KS",
            "postal_code": "673373306",
            "telephone_number": "620-251-5600",
            "fax_number": "620-252-1780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD C WHITE MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-21",
        "last_updated": "2010-12-14",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "620-251-5600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KS",
            "license": "15004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.