Organization Active NPI

White Rose Family Practice LLC

  • Family Medicine Physician
  • York, PA
National Provider Identifier
1750330106
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
WHITE ROSE FAMILY PRACTICE LLC
Practice address
80 Wyntre Brooke Dr
York, PA 17403-4535
Phone
(717) 741-9462
Fax
(717) 741-4399
NPI assigned
May 10, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Cathy P Carpenter IV, M.D.
Title
Owner
Phone
(717) 741-9462

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X PA Primary

Addresses

Primary practice location

80 Wyntre Brooke Dr
York, PA 17403-4535

Mailing address

80 Wyntre Brooke Dr
York, PA 17403-4535
Phone (717) 741-9462

Other identifiers 8

IdentifierTypeStateIssuer
S183OtherPAGEISINGER HEALTH PLAN
2601158OtherPAAETNA
02377500OtherPACAPITAL BLUE CROSS
001873963MedicaidPA
371424OtherPAMAMSI
606644OtherPAHIGHMARK BLUE SHIELD
136324OtherPAHEALTH AMERICA
1520948OtherPAGATEWAY HEALTH PLAN

National Provider Directory

National Provider Directory

Locations

80 Wyntre Brooke Dr
York, PA 17403
Phone (717) 741-9462

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1750330106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 WYNTRE BROOKE DR",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174034535",
            "telephone_number": "717-741-9462",
            "fax_number": "717-741-4399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 WYNTRE BROOKE DR",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174034535",
            "telephone_number": "717-741-9462",
            "fax_number": "717-741-4399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE ROSE FAMILY PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-10",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CARPENTER",
        "authorized_official_first_name": "CATHY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-741-9462",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEISINGER HEALTH PLAN",
            "identifier": "S183",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2601158",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "02377500",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001873963",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "371424",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "606644",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA",
            "identifier": "136324",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY HEALTH PLAN",
            "identifier": "1520948",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in York, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.