Active NPI
Michael Charles White, MPAS
- Physician Assistant
- The Woodlands, TX
National Provider Identifier
1730697442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA11652
- Practice address
- 17580 I-45 S
The Woodlands, TX 77384 - Phone
- (936) 237-7333
- NPI assigned
- Jan 16, 2018
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA11652 | TX | Primary |
Addresses
Primary practice location
17580 I-45 S
The Woodlands, TX 77384
Mailing address
17580 I-45 S
The Woodlands, TX 77384
Phone (832) 828-3660
Other practice location 1
1100 Wilford Hall Loop Bldg 5554
Jbsa Lackland, TX 78236-5638
Phone (210) 925-0430
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA11652 | TX | MD | Physician Assistant |
Interoperability endpoints
- mwhite269057@prddirect.texaschildrens.org
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatrics Physician
- Houston, TX
- NPI 1861675506
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714608000000",
"number": "1730697442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17580 I-45 S",
"city": "THE WOODLANDS",
"state": "TX",
"postal_code": "77384",
"telephone_number": "832-828-3660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17580 I-45 S",
"city": "THE WOODLANDS",
"state": "TX",
"postal_code": "77384",
"telephone_number": "936-237-7333"
}
],
"practiceLocations": [
{
"address_1": "1100 Wilford Hall Loop Bldg 5554",
"address_purpose": "LOCATION",
"city": "Jbsa Lackland",
"state": "TX",
"postal_code": "782365638",
"country_code": "US",
"telephone_number": "210-925-0430",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WHITE",
"first_name": "MICHAEL",
"middle_name": "CHARLES",
"name_prefix": "Mr.",
"credential": "MPAS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-01-16",
"last_updated": "2024-05-02",
"certification_date": "2024-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA11652",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in The Woodlands, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.