Barbara M White, DO
Individual provider Active NPI Family Medicine Physician · Indianola, IA
NPI 1619954740 · NPPES record last updated Aug 24, 2007
Key facts
- NPI
- 1619954740
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 3076 (IA)
- Practice address
- 1504 N 1St St
Indianola, IA 50125-3702 - Phone
- (515) 961-3700
- Fax
- (515) 962-0160
- NPI assigned
- Dec 29, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041028000954 | IA | Practitioner - Emergency Medicine |
8022070481 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3076 | IA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Keokuk County Health Center | Current |
Accepting new patients | |
| Mercyone Urgentcare | Current |
Accepting new patients | |
| Mercyone Central Iowa Urgent Care | Current |
Accepting new patients | |
| Mercyone Urgentcare | Current |
Accepting new patients | |
| Doctorsnow Walk-in Care, L.C. | Family Medicine | Past |
Accepting new patients |
Locations
2400 Lillian Way
Clinton, IA 52732
Phone (563) 243-1200
6601 SW 9th St
Ste 3
Des Moines, IA 50315
Phone (515) 461-9786
23019 Highway 149
Sigourney, IA 52591
Phone (641) 622-2720
10319 Jefferson Hwy
Baton Rouge, LA 70809
Phone (224) 214-9352
Interoperability endpoints
- bwhite4084883@direct.trinity-health.org
- https://fhir-usa.unify.chbase.com/org/keocohc-1efc0458
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 3076 | IA | Yes |
Addresses
Primary practice location
1504 N 1St St
Indianola, IA 50125-3702
Mailing address
1504 N 1St St
Indianola, IA 50125-3702
Phone (515) 961-3700
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8171231 | Medicaid | IA | |
| 6171231 | Medicaid | IA | |
| 9171231 | Medicaid | IA | |
| 7171231 | Medicaid | IA |
Other providers in Indianola, IA
- Warren H. Peterson, O.D.
- Ryan C Werling
- Wesley Retirement Services, Inc
- Kayla Delynne Wessel
- Steven Ensley West
- Amy Marie Whitlatch-Gillum
- Colton Wilson
- Jennifer Lovell Wilson
- Wimer Medical Services, PC
- Lucas Winder
All providers in Indianola, IA · Family Medicine Physician in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 24, 2007. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.