White Cross Orthopedic

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

WHITE CROSS ORTHOPEDIC

Practice address

811 11TH Ave
Ste a
Longview, WA 98632-2462

Phone

(360) 423-6027

Fax

(360) 501-4454

NPI assigned

Nov 29, 2006

Organization subpart

No

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

Authorized official

Name

Ardella O Myhre

Title

Owner

Phone

(360) 423-6027

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710054499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 11TH AVE",
            "address_2": "STE A",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986322462",
            "telephone_number": "360-423-6027",
            "fax_number": "360-501-4454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 11TH AVE",
            "address_2": "STE A",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986322462",
            "telephone_number": "360-423-6027",
            "fax_number": "360-501-4454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE CROSS ORTHOPEDIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MYHRE",
        "authorized_official_first_name": "ARDELLA",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-423-6027"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9048174",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9014671",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9006206",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Westerfield, MD
• David William Westrup, M.D.
• Michael Stuart Weyer, RPH
• Sandra Jean Wheaton, APNC
• Douglas M Whelan, M.D.
• Elisa Renee White
• Joshua White, CF-SLP
• Katie Elaine White, AUD
• Makael Lee White, LMFT, ATR-BC
• Robert C White, SUDPT

• Durable Medical Equipment & Medical Supplies in Longview, WA
• Providers in Longview, WA by specialty
• Durable Medical Equipment & Medical Supplies in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.