Elizabeth Anne White, PA-C

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

5601007818 Issued in MI

Practice address

50505 Schoenherr Rd
Suite 325
Shelby Township, MI 48315-3140

Phone

(586) 580-1001

Fax

(586) 580-9289

NPI assigned

Sep 14, 2016

Last updated

Dec 15, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Wayne State University School of Medicine, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

On Site Dermatology of Michigan, PLLCGroup PAC ID 2062915085, 2 clinicians

Berry Dermatology PCGroup PAC ID 2466693387, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: ewhite433029@direct.hfhs.org

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.

• Berry Dermatology, P.C.

  dba Dermatology Specialists of Shelby

  • Dermatology Physician
  • Shelby Township, MI
  • NPI 1326386517
  Medicare reassignment Care Compare group
• On Site Dermatology of Michigan, PLLC

  • Dermatology Physician
  • Novi, MI
  • NPI 1114809811
  Medicare reassignment Care Compare group
• Dermatology Specialists of Canton, PLLC

  • Dermatology Physician
  • Canton, MI
  • NPI 1003069014
  Medicare reassignment
• Dermatology Specialists of Rochester Hills

  • Dermatology Physician
  • Canton, MI
  • NPI 1114652831
  Medicare reassignment

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

{
    "created_epoch": "1473811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639526400000",
    "number": "1699223982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43151 DALCOMA DR",
            "address_2": "SUITE 4",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480386306",
            "telephone_number": "586-286-8720",
            "fax_number": "866-790-6803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50505 SCHOENHERR RD",
            "address_2": "SUITE 325",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483153140",
            "telephone_number": "586-580-1001",
            "fax_number": "586-580-9289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "ELIZABETH",
        "middle_name": "ANNE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-14",
        "last_updated": "2021-12-15",
        "certification_date": "2021-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MI",
            "license": "5601007818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandria Jean Wenskay, M.A., CCC-SLP
• Kenneth Paul Werner, M.S., L.L.P.
• Luke A Westlake
• Valerie Lynn Weyhing, ED. S.
• Rachelle Whitaker, LPC
• Ethan White, OTR/L
• Gabriella Alice White
• Sylvia White
• Whitney Renee White, FNP
• Tanicia Whiteside, COTA/L

• Dermatology Physician in Shelby Township, MI
• Providers in Shelby Township, MI by specialty
• Dermatology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.