David E White, PAC
Individual provider Active NPI Medical Physician Assistant · Spring Creek, NV
NPI 1609969443 · NPPES record last updated Aug 2, 2018
Key facts
- NPI
- 1609969443
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- PA1661 (NV)
- Practice address
- 250 Country Club Pkwy
Spring Creek, NV 89815 - Phone
- (775) 750-7159
- NPI assigned
- Oct 2, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Aems
Practice addresses (Care Compare)
250 Country Club Pkwy
Spring Creek, NV 89815-5830
Phone (775) 738-3000
2511 Mountain City Hwy
Elko, NV 89801-4496
Phone (775) 993-2800
Hospital & facility affiliations
- New Horizon Home Care, LLC
- Northeastern Nevada Regional Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141016001848 | NV | Practitioner - Physician Assistant | 5092817171 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 363AMO700X | ID | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premise Health of Nevada Medical Hinitt PC | Current |
Accepting new patients | |
| Premise Health of Nevada Medical Hinitt PC | Current |
Accepting new patients | |
| Idaho Emergency Physicians, P.a. | Past |
Accepting new patients | |
| Gooding County Hospital District | Past | Accepting new patients |
Locations
16906 Collection Ctr Dr
Chicago, IL 60693
1993 Errecart Blvd
Elko, NV 89801
Phone (775) 748-4826
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 363AMO700X | ID | |
| Medical Physician Assistant | 363AM0700X | PA1661 | NV | Yes |
Addresses
Primary practice location
250 Country Club Pkwy
Spring Creek, NV 89815
Mailing address
250 Country Club Pkwy
Spring Creek, NV 89815-5830
Phone (775) 750-7159
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 807568600 | Medicaid | ID |
Other providers in Spring Creek, NV
- Matthew Turley
- Kim Michelle Upton
- Dallan Valle
- Jessica Jo Ward
- Wellness Horizons, LLC
- Jocelyn McCarter Whitworth
All providers in Spring Creek, NV · Medical Physician Assistant in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 2, 2018. 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.
- 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.