Charles A. White, DO

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

02002231A Issued in IN

Practice address

57392 M 51 S
Dowagiac, MI 49047-9766

Phone

(269) 782-4141

Fax

(269) 783-1236

NPI assigned

Apr 20, 2006

Last updated

Sep 1, 2012By the provider in NPPES

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ambulatory United

  • Gynecology Physician
  • Greenville, MI
  • NPI 1104931492
  NPD (past)
• Spectrum Health Kelsey

  • Personal Emergency Response Attendant
  • Lakeview, MI
  • NPI 1902941057
  NPD (past)

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346457600000",
    "number": "1669437612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57392 M 51 S",
            "city": "DOWAGIAC",
            "state": "MI",
            "postal_code": "490479766",
            "telephone_number": "269-782-4141",
            "fax_number": "269-783-1236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57392 M 51 S",
            "city": "DOWAGIAC",
            "state": "MI",
            "postal_code": "490479766",
            "telephone_number": "269-782-4141",
            "fax_number": "269-783-1236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "CHARLES",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2012-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "02002231A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100358190",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sophia Rosalie Vanderwilp, MMT
• Krystal A Vanegas
• Erica Michelle Vantuyl, PT,DPT
• Teresita Villasis, M.D.
• Shaun Michael West, DBH, LPC, CAADC, ACS
• James Lee Wierman, DO
• Lisa Janelle Wolske, NP-C
• Workshop Therapy Services, LLC
• Kristen Wright, MD
• Joo-Youn Yi, D.D.S.

• Internal Medicine Physician in Dowagiac, MI
• Providers in Dowagiac, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.