Active NPI
Kimberly A White, MD
- Obstetrics & Gynecology Physician
- Akron, OH
National Provider Identifier
1679522965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 35061103
- Practice address
- 1 Park West Blvd
Suite 200
Akron, OH 44320-4218 - Phone
- (330) 869-9777
- Fax
- (330) 869-0052
- NPI assigned
- May 6, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 35061103 | OH | Primary |
Addresses
Primary practice location
1 Park West Blvd
Suite 200
Akron, OH 44320-4218
Mailing address
1 Park West Blvd
Suite 200
Akron, OH 44320-4218
Phone (330) 869-9777
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0883629 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35061103 | OH | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258502400000",
"number": "1679522965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 PARK WEST BLVD",
"address_2": "SUITE 200",
"city": "AKRON",
"state": "OH",
"postal_code": "443204218",
"telephone_number": "330-869-9777",
"fax_number": "330-869-0052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 PARK WEST BLVD",
"address_2": "SUITE 200",
"city": "AKRON",
"state": "OH",
"postal_code": "443204218",
"telephone_number": "330-869-9777",
"fax_number": "330-869-0052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "KIMBERLY",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-06",
"last_updated": "2009-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "OH",
"license": "35061103",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0883629",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Akron, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.