Shane Wesley White

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

87323 Issued in WI

Practice address

512 S 28TH Ave
Wausau, WI 54401-4147

Phone

(715) 847-2021

NPI assigned

Mar 29, 2021

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• ENT & Allergy Associates, S.C.

  • Otolaryngology Physician
  • Wausau, WI
  • NPI 1255384301
  NPD

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

{
    "created_epoch": "1616976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784160000000",
    "number": "1659959039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 S 28TH AVE",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544014147",
            "telephone_number": "715-847-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 S 28TH AVE",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544014147",
            "telephone_number": "715-847-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "SHANE",
        "middle_name": "WESLEY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-29",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "WI",
            "license": "87323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John R Westberg, CRNA
• Lauren E Westermeier, RN
• Kristin J Whitaker, MD
• Terence J Whitaker, DMD
• White Rose Plus, LLC
• Sha-Keya L Whitelow
• Anna Katherine Wicklund
• Jamie Wierzba
• Julie Ann Wilcox, CRNA
• Beth D. Wilder-Stieber, L.P.C.

• Otolaryngology Physician in Wausau, WI
• Providers in Wausau, WI by specialty
• Otolaryngology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2026; 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.