Individual provider Active NPI

Mark A. White, D.O.

  • Neurological Surgery Physician
  • Westerville, OH
National Provider Identifier
1649279837
Registry record updated Apr 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
34-006320 Issued in OH
Practice address
70 S Cleveland Ave
Westerville, OH 43081-1397
Phone
(614) 890-6555
Fax
(614) 823-7075
NPI assigned
Jul 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 34-006320 OH Primary

Addresses

Primary practice location

70 S Cleveland Ave
Westerville, OH 43081-1397

Mailing address

70 S Cleveland Ave
Westerville, OH 43081-1397
Phone (614) 890-6555

Other identifiers 1

IdentifierTypeStateIssuer
2285503MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20040913000960 OH Practitioner - Neurosurgery 5698742377 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34-006320OHMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic & Neurological Consultants, Inc. Neurological Surgery CurrentSince May 1, 2019 Accepting new patients
Orthopedic & Neurological Consultants, Inc CurrentSince May 1, 2019 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Surgery & Gynecology Inc Past Accepting new patients

Locations

L 3973
Columbus, OH 43260

1313 Olentangy River Rd
Columbus, OH 43212
Phone (614) 221-3725

70 S Cleveland Ave
Westerville, OH 43081
Phone (614) 839-2115

Interoperability endpoints

  • Direct secure messaging: mark.white.p1@direct.beaconortho.nextgenshare.com
  • Direct secure messaging: mwhite1158190@direct.trinity-health.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554076800000",
    "number": "1649279837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 S CLEVELAND AVE",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430811397",
            "telephone_number": "614-890-6555",
            "fax_number": "614-734-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 S CLEVELAND AVE",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430811397",
            "telephone_number": "614-890-6555",
            "fax_number": "614-823-7075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "MARK",
        "middle_name": "A.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-19",
        "last_updated": "2019-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "OH",
            "license": "34-006320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2285503",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerville, OH

Sources for this page

Verify at the official NPI Registry.