Individual provider Active NPI

Barbara M White, DO

  • Family Medicine Physician
  • Indianola, IA
National Provider Identifier
1619954740
Registry record updated Aug 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
3076 Issued in IA
Practice address
1504 N 1St St
Indianola, IA 50125-3702
Phone
(515) 961-3700
Fax
(515) 962-0160
NPI assigned
Dec 29, 2005
Last updated
Aug 24, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 3076 IA Primary

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 4

IdentifierTypeStateIssuer
8171231MedicaidIA
6171231MedicaidIA
7171231MedicaidIA
9171231MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20041028000954 IA Practitioner - Emergency MedicinePractitioner - Family Practice 8022070481 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3076IAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Keokuk County Health Center CurrentSince Apr 1, 2023 Accepting new patients
Mercyone Urgentcare CurrentSince Sep 27, 2022 Accepting new patients
Mercyone Urgentcare CurrentSince Sep 27, 2022 Accepting new patients
Mercyone Central Iowa Urgent Care CurrentSince Dec 1, 2022 Accepting new patients
Doctorsnow Walk-in Care, L.C. Family Medicine PastSince Nov 1, 2015 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

  • Direct secure messaging: bwhite4084883@direct.trinity-health.org
  • FHIR API: https://fhir-usa.unify.chbase.com/org/keocohc-1efc0458

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187913600000",
    "number": "1619954740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1504 N 1ST ST",
            "city": "INDIANOLA",
            "state": "IA",
            "postal_code": "501253702",
            "telephone_number": "515-961-3700",
            "fax_number": "515-962-0160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1504 N 1ST ST",
            "city": "INDIANOLA",
            "state": "IA",
            "postal_code": "501253702",
            "telephone_number": "515-961-3700",
            "fax_number": "515-962-0160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "BARBARA",
        "middle_name": "M",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-29",
        "last_updated": "2007-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "3076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8171231",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6171231",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7171231",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9171231",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianola, IA

Sources for this page

Verify at the official NPI Registry.