Individual provider Active NPI

Barry M White, DPM

  • Foot & Ankle Surgery Podiatrist
  • Yarmouth, ME
National Provider Identifier
1568448272
Registry record updated Sep 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
POD 1046 Issued in ME
Practice address
45 Forest Falls Dr
Yarmouth, ME 04096-6999
Phone
(207) 888-3640
Fax
(207) 847-3000
NPI assigned
Dec 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X POD 1046 ME Primary

Addresses

Primary practice location

45 Forest Falls Dr
Yarmouth, ME 04096-6999

Mailing address

45 Forest Falls Dr
Yarmouth, ME 04096-6999
Phone (207) 888-3640

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040602000820 ME Practitioner - Podiatry 8325020522 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

45 Forest Falls Dr
Yarmouth, ME 04096-6999
Phone (207) 888-3640

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue104
Removal of skin lesions1-10
Removal of nail tissue192
Removal or shaving of skin growth90

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
POD 1046MEMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Maine Foot and Ankle PA Foot & Ankle Surgery CurrentSince Mar 7, 2020 Accepting new patients
Francine F. Blattner, MD.PA PastSince Feb 1, 2013 Accepting new patients
Ankle and Foot Associates PC Foot & Ankle Surgery Past Accepting new patients

Locations

45 Forest Falls Dr
Yarmouth, ME 04096
Phone (207) 846-9761

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1134604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600214400000",
    "number": "1568448272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 FOREST FALLS DR",
            "city": "YARMOUTH",
            "state": "ME",
            "postal_code": "040966999",
            "telephone_number": "207-888-3640",
            "fax_number": "207-847-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 FOREST FALLS DR",
            "city": "YARMOUTH",
            "state": "ME",
            "postal_code": "040966999",
            "telephone_number": "207-888-3640",
            "fax_number": "207-847-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "BARRY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-15",
        "last_updated": "2020-09-16",
        "certification_date": "2020-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "ME",
            "license": "POD 1046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yarmouth, ME

Sources for this page

Verify at the official NPI Registry.