Jason F White, MD
Individual provider Active NPI Allergy & Immunology Physician · Evansville, IN
NPI 1508974841 · NPPES record last updated Dec 2, 2013
Key facts
- NPI
- 1508974841
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Allergy & Immunology Physician 207K00000X
- License
- 01056975A (IN)
- Practice address
- 6221 Physicians CT
Suite 1
Evansville, IN 47715-4031 - Phone
- (812) 479-3153
- Fax
- (812) 473-8166
- NPI assigned
- Aug 28, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 5
Owned or controlled facilities with NPI records 7
Medicare Care Compare profile
- Specialty
- Allergy/Immunology
- Education
- Indiana University School of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Deaconess Clinic Inc
Practice addresses (Care Compare)
1204 Williams St
Oakland City, IN 47660-1001
Phone (812) 749-6187
251 S Truman Rd
Deaconess Clinic Jasper Allergy
Jasper, IN 47546-9768
Phone (812) 479-3153
4011 Gateway Blvd
Newburgh, IN 47630-8947
Phone (812) 490-4570
421 Chestnut St
Evansville, IN 47713-1227
Phone (812) 426-6645
6221 Physicians CT
Suite 1
Evansville, IN 47715-4031
Phone (812) 479-3153
Hospital & facility affiliations
- Deaconess Hospital Inc
- Memorial Hospital and Health Care Center
- Gibson General Hospital
- Deaconess Henderson Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 7
| Facility | Type | Role | Since |
|---|---|---|---|
| Deaconess Clinic Oakland City |
Rural health clinic | Corporate Director | Oct 1, 2022 |
| Deaconess Clinic Sherman Drive |
Rural health clinic | Corporate Director | Oct 1, 2022 |
| Deaconess Clinic Ft. Branch |
Rural health clinic | Corporate Director | Oct 1, 2022 |
| Deaconess Clinic Vail Street |
Rural health clinic | Corporate Director | Oct 1, 2022 |
| Deaconess Clinic Sebree |
Rural health clinic | Corporate Director | Oct 1, 2022 |
| Deaconess Clinic Dixon RHC |
Rural health clinic | Corporate Director | Oct 1, 2022 |
| Deaconess Clinic Morganfield |
Rural health clinic | Corporate Director | Oct 1, 2022 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100830000264 | IN | Practitioner - Allergy/Immunology | 5799869103 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01056975A | IN | MD | Allergy & Immunology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deaconess Clinic, Inc | Allergy & Immunology | Current |
Accepting new patients |
| Deaconess Clinic Inc. | Allergy & Immunology | Current | Accepting new patients |
| Deaconess Clinic Inc | Current |
Accepting new patients |
Locations
6221 Physicians Ct
Ste 1
Evansville, IN 47715
Phone (812) 479-3153
421 Chestnut St
Evansville, IN 47713
Phone (812) 426-6645
1204 Williams St
Oakland City, IN 47660
Phone (812) 749-6187
Interoperability endpoints
- jwhite32538@direct.deaconess.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | 01056975A | IN | Yes |
Addresses
Primary practice location
6221 Physicians CT
Suite 1
Evansville, IN 47715-4031
Mailing address
PO Box 1510
Evansville, IN 47706-1510
Phone (812) 479-3153
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20041099OA | Medicaid | IN |
Other providers in Evansville, IN
- Daniel Lee Whitaker
- Joshua David Whitby
- Gregory B White
- Hannah Sue White
- Holly L White
- Nichole Michelle White
- Daniel Wright Whitehead
- Willard Whitehead III
- Kelly Whitehurst
- Jalaya Whitfield
All providers in Evansville, IN · Allergy & Immunology Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 2, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.