Active NPI
Edward Alan White, D.O.
- Family Medicine Physician
- Princeton, IN
National Provider Identifier
1508960733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 02001269A
- Practice address
- 685 Vail St
Deaconess Clinic-Princeton
Princeton, IN 47670-9510 - Phone
- (812) 386-6650
- Fax
- (812) 386-6698
- NPI assigned
- Sep 8, 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 02001269A | IN | Primary |
Addresses
Primary practice location
685 Vail St
Deaconess Clinic-Princeton
Princeton, IN 47670-9510
Mailing address
685 Vail St
Princeton, IN 47670-9510
Phone (812) 386-6650
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 Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02001269A | IN | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292889600000",
"number": "1508960733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "685 VAIL ST",
"city": "PRINCETON",
"state": "IN",
"postal_code": "476709510",
"telephone_number": "812-386-6650",
"fax_number": "812-386-6698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "685 VAIL ST",
"address_2": "DEACONESS CLINIC-PRINCETON",
"city": "PRINCETON",
"state": "IN",
"postal_code": "476709510",
"telephone_number": "812-386-6650",
"fax_number": "812-386-6698"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "EDWARD",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-08",
"last_updated": "2010-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "02001269A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Princeton, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.