Active NPI
White Rose Family Practice LLC
- Family Medicine Physician
- York, PA
National Provider Identifier
1750330106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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, 2022
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| S183 | Other | PA | GEISINGER HEALTH PLAN |
| 2601158 | Other | PA | AETNA |
| 02377500 | Other | PA | CAPITAL BLUE CROSS |
| 001873963 | Medicaid | PA | |
| 371424 | Other | PA | MAMSI |
| 606644 | Other | PA | HIGHMARK BLUE SHIELD |
| 136324 | Other | PA | HEALTH AMERICA |
| 1520948 | Other | PA | GATEWAY HEALTH PLAN |
National Provider Directory
National Provider DirectoryLocations
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
- White Deer Run LLC (White Deer Run - Mt. Zion)
- White Deer Run LLC (White Deer Run of York Outpatient)
- White Deer Run, LLC (White Deer Run of York)
- White Rose Family Chiropractic, LLC
- White Rose Family Dental LLC
- White Rose Family Practice, LLC
- White Rose Home Health
- White Rose OB/GYN Associates
- White Rose Physical Therapy, P.C.
- White Rose Surgical Associates LTD
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.