Active NPI
Susan White, MD
- Pediatrics Physician
- Oklahoma City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 29246
- Practice address
- 940 NE 13TH St
Oklahoma City, OK 73104-5008 - Phone
- (405) 271-4417
- NPI assigned
- May 30, 2012
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 29246 | OK | Primary |
Addresses
Primary practice location
940 NE 13TH St
Oklahoma City, OK 73104-5008
Mailing address
940 NE 13TH St
Oklahoma City, OK 73104-5008
Phone (405) 271-4417
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Hospital Logan County Inc | Current | Accepting new patients | |
| Mercy Hospital Logan County, Inc | Current | Accepting new patients | |
| Mercy Clinic Oklahoma Communities | Current | Accepting new patients | |
| Susan E White MD PLLC | Pediatrics | Past | Accepting new patients |
| Mercy Hospital Oklahoma City, Inc | Past | Accepting new patients | |
| Summit Medical Center | Past | Accepting new patients |
Locations
1575 N Santa Fe Ave
Edmond, OK 73003
Phone (405) 285-0600
2919 S Division St
Guthrie, OK 73044
Phone (405) 282-6301
200 S Academy Rd
Guthrie, OK 73044
Phone (405) 260-4165
1919 E Memorial Rd
Oklahoma City, OK 73131
Phone (405) 341-7009
4300 McAuley Blvd
Oklahoma City, OK 73120
Phone (405) 936-5455
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Oklahoma City, OK
- NPI 1386874550
-
- Critical Access Hospital
- Guthrie, OK
- NPI 1306126818
-
- Pediatrics Physician
- Edmond, OK
- NPI 1588335822
-
- Rural Health Clinic/Center
- Crescent, OK
- NPI 1659652071
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1184721722
-
- General Acute Care Hospital
- Edmond, OK
- NPI 1356574560
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437091200000",
"number": "1811258502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "940 NE 13TH ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731045008",
"telephone_number": "405-271-4417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "940 NE 13TH ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731045008",
"telephone_number": "405-271-4417"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "SUSAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-30",
"last_updated": "2015-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OK",
"license": "29246",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.