Robert K White PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

6089 Issued in NV

Legal business name

ROBERT K WHITE PC

Practice address

8463 W Lake Mead Blvd
Las Vegas, NV 89128-7638

Phone

(702) 304-0854

Fax

(702) 256-2821

NPI assigned

Sep 4, 2006

Organization subpart

No

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

Authorized official

Name

Robert White, MDNPI 1740208834

Title

Owner

Phone

(702) 304-0854

Specialties & licenses 1

Addresses

Other names 1

• Executive Health and Wellness Center Doing business as

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert K White, M.D.

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1740208834
  Medicare reassignment NPD Authorized official
• Shamini K Panikkar, M.D.

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1508898768
  NPD (past)

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

{
    "created_epoch": "1157328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400198400000",
    "number": "1801998307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8463 W LAKE MEAD BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891287638",
            "telephone_number": "702-304-0854",
            "fax_number": "702-256-2821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8463 W LAKE MEAD BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891287638",
            "telephone_number": "702-304-0854",
            "fax_number": "702-256-2821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT K WHITE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-04",
        "last_updated": "2014-05-16",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-304-0854",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "6089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Executive Health and Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robert Chancellor MD PLLC
• Robert E. Heron, P.C.
• Robert G Berry Jr MD PC
• Robert Hawkins Community Counseling Services
• Robert J Comeau MD LTD
• Robert Lynn Horne MD LTD
• Robert Lynn Horne MD LTD
• Robert M Lowe MD PHD PLLC
• Robert M Svarney Jr, DDS, PLLC
• Robert M Yeh MD Inc

• Internal Medicine Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Internal Medicine Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.