Active NPI
Mitchell Aaron White, PA-C
- Medical Physician Assistant
- Philadelphia, PA
National Provider Identifier
1801208939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- MA056847
- Practice address
- 5058 City Ave
Philadelphia, PA 19131-1441 - Phone
- (215) 921-6369
- Fax
- (215) 921-6987
- NPI assigned
- May 23, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | MA056847 | PA | Primary |
Addresses
Primary practice location
5058 City Ave
Philadelphia, PA 19131-1441
Mailing address
5058 City Ave
Philadelphia, PA 19131-1441
Phone (215) 921-6369
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA056847 | PA | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400803200000",
"number": "1801208939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5058 CITY AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191311441",
"telephone_number": "215-921-6369",
"fax_number": "215-921-6987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5058 CITY AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191311441",
"telephone_number": "215-921-6369",
"fax_number": "215-921-6987"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "MITCHELL",
"middle_name": "AARON",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-05-23",
"last_updated": "2014-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "PA",
"license": "MA056847",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.