Sean R White MD PS

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

MD60082203 Issued in WA

Legal business name

SEAN R WHITE MD PS

Practice address

1812 Sumner Ave Ste C
Aberdeen, WA 98520-4602

Phone

(360) 637-9522

Fax

(360) 637-9686

NPI assigned

Jul 18, 2016

Last updated

Jul 18, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Sean Rae White, MDNPI 1720262421

Title

Owner

Phone

(360) 637-9522

Specialties & licenses 1

Addresses

Tax ID family

Sean R White MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Sean R. White, MD, PS

  • Primary Care Clinic/Center
  • Aberdeen, WA
  • NPI 1912130006
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sean Rae White, M.D.

  • Pediatrics Physician
  • Montesano, WA
  • NPI 1720262421
  NPD (past) Authorized official

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

{
    "created_epoch": "1468800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468800000000",
    "number": "1689027328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 711",
            "city": "MONTESANO",
            "state": "WA",
            "postal_code": "985630711",
            "telephone_number": "360-637-9522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1812 SUMNER AVE STE C",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "985204602",
            "telephone_number": "360-637-9522",
            "fax_number": "360-637-9686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEAN R WHITE MD PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-18",
        "last_updated": "2016-07-18",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-637-9522",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "WA",
            "license": "MD60082203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sea Mar Community Health Centers
• Sea Mar Community Health Centers
• Sea-J Inc (Aberdeen Pharmacy)
• Sea-Mar Community Health Center
• Sea-Mar Community Health Center
• Sean R. White, MD, PS
• Melissa Sexton, LICSWA
• Anna Marie Shale, CDP
• Sholeh Bernadette Sharif
• Bijan Sheikhizadeh, DPM

• Primary Care Clinic/Center in Aberdeen, WA
• Providers in Aberdeen, WA by specialty
• Primary Care Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2016; 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.