Individual provider Active NPI

Kathryn Maryse White, MD

  • Obstetrics & Gynecology Physician
  • Royal Oak, MI
National Provider Identifier
1619498599
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
4301054950 Issued in MI
Practice address
326 N Main St
Royal Oak, MI 48067-4121
Phone
(248) 584-7600
Fax
(248) 584-7606
NPI assigned
Jun 30, 2017
Last updated
Sep 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 4301054950 MI Primary

Addresses

Primary practice location

326 N Main St
Royal Oak, MI 48067-4121

Mailing address

1414 W Fair Ave Ste 390
Marquette, MI 49855-5407
Phone (906) 225-3881

Other practice location 1

1414 W Fair Ave Ste 390
Marquette, MI 49855-5407
Phone (906) 225-3881

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210927003128 MI Practitioner - Obstetrics/Gynecology 0042580482 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Oakland Univ, William Beaumont School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Together Women's Health Medical Group, P.C.Group PAC ID 2466543640, 74 clinicians

Practice addresses (Care Compare)

326 N Main St
Royal Oak, MI 48067-4121
Phone (248) 584-7600

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301054950MIMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Together Women's Health Medical Group, P.C. Obstetrics & Gynecology CurrentSince Sep 18, 2024 Accepting new patients
OB-GYN Assoc of Marquette PC Obstetrics & Gynecology CurrentSince Aug 1, 2021 Accepting new patients

Locations

390 Park St
Ste 109
Birmingham, MI 48009
Phone (248) 647-5660

1414 W Fair Ave
Ste 390
Marquette, MI 49855
Phone (906) 225-3881

29751 Little Mack Ave
Ste B
Roseville, MI 48066

326 N Main St
Royal Oak, MI 48067
Phone (248) 584-7600

Interoperability endpoints

  • Direct secure messaging: kathryn.white.1@23349.direct.athenahealth.com

Organizations & group practices 2

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

Hospital & facility affiliations 3

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": "1498780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1619498599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 W FAIR AVE STE 390",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498555407",
            "telephone_number": "906-225-3881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 N MAIN ST",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480674121",
            "telephone_number": "248-584-7600",
            "fax_number": "248-584-7606"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1414 W Fair Ave Ste 390",
            "address_purpose": "LOCATION",
            "city": "Marquette",
            "state": "MI",
            "postal_code": "498555407",
            "country_code": "US",
            "telephone_number": "906-225-3881",
            "fax_number": "906-225-0994",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITE",
        "first_name": "KATHRYN",
        "middle_name": "MARYSE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-30",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301054950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Oak, MI

Sources for this page

Verify at the official NPI Registry.