NPIMap

Individual provider Active NPI

Richard A White, MD

  • Orthopaedic Surgery Physician
  • Mexico, MO
National Provider Identifier
1770536856
Registry record updated Jan 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
2005000797 Issued in MO
Practice address
515 E Promenade St
Mexico, MO 65265-2966
Phone
(573) 582-0157
Fax
(573) 581-4995
NPI assigned
May 18, 2006
Last updated
Jan 7, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 2005000797 MO Primary

Addresses

Primary practice location

515 E Promenade St
Mexico, MO 65265-2966

Mailing address

PO Box 1027
Jefferson City, MO 65102-1027
Phone (573) 681-3767

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050422000015 MO Practitioner - Sports MedicinePractitioner - Orthopedic Surgery 4981656048 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Sports MedicineAlso: Orthopedic Surgery
Education
University of Arkansas College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cedar County Memorial HospitalGroup PAC ID 7315841129, 20 clinicians

Practice addresses (Care Compare)

1317 S State Hwy 32
CCMH Medical Mall Clinic
El Dorado Springs, MO 64744-2302
Phone (417) 876-3333

2305 S Hwy 65
Marshall, MO 65340-3702
Phone (660) 831-3553

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
John Fitzgibbon Memorial Hospital Inc CurrentSince Jan 4, 2016 Accepting new patients
John Fitzgibbon Memorial Hospital, Inc. Current Accepting new patients
Cedar County Memorial Hospital Current Accepting new patients
Cedar County Memorial Hospital Past Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

1317 S State Highway 32
El Dorado Springs, MO 64744
Phone (417) 876-3333

1401 S Park St
El Dorado Springs, MO 64744
Phone (417) 876-2511

600 W Morrison St
Ste 5
Fayette, MO 65248
Phone (660) 248-2900

2305 S Highway 65
Marshall, MO 65340
Phone (660) 831-3730

2305 S Highway 65
Fl 2
Marshall, MO 65340

Organizations & group practices 6

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.

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452124800000",
    "number": "1770536856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1027",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651021027",
            "telephone_number": "573-681-3767",
            "fax_number": "573-761-6947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 E PROMENADE ST",
            "city": "MEXICO",
            "state": "MO",
            "postal_code": "652652966",
            "telephone_number": "573-582-0157",
            "fax_number": "573-581-4995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "RICHARD",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2016-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MO",
            "license": "2005000797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mexico, MO

Sources for this page

Verify at the official NPI Registry.