Harry C White, MD

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

31218 Issued in CO

Practice address

4105 Briargate Blvd
Suite 125
Colorado Springs, CO 80920-3490

Phone

(719) 282-2511

Fax

(719) 282-2545

NPI assigned

Jun 2, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Rehabilitation Institute of Michigan

  • Rehabilitation Clinic/Center
  • Detroit, MI
  • NPI 1982779260
  NPD (past)
• University Physician Group

  dba Wayne Health

  • Internal Medicine Physician
  • Detroit, MI
  • NPI 1447299797
  NPD (past)

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319068800000",
    "number": "1629016787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4105 BRIARGATE BLVD",
            "address_2": "SUITE 125",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809203490",
            "telephone_number": "719-282-2511",
            "fax_number": "719-282-2545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4105 BRIARGATE BLVD",
            "address_2": "SUITE 125",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809203490",
            "telephone_number": "719-282-2511",
            "fax_number": "719-282-2545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "HARRY",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2011-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CO",
            "license": "31218",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER COMMERCIAL",
            "identifier": "20439",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "25584251",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deborah Ann White
• Edward White, MA
• Elizabeth White
• Elvin L White, D.C.
• Garrett White
• Heidi K White, P.A.
• Hilary Ann White
• Holly Amanda White, LPC
• Jimmie Lewis White III, RN
• Kayla White

• Physical Medicine & Rehabilitation Physician in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Physical Medicine & Rehabilitation Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.