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

Organization subpart

No

Name

Donald C White, MD

Title

Owner

Phone

(620) 251-5600

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 14, 2010.

{
    "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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHILDRENS MERCY HEALTH PL",
            "identifier": "340540",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OKLA HEALTHCARE AUTHORITY",
            "identifier": "100009890A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100084840A",
            "state": "KS"
        }
    ],
    "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.