Active NPI
Leonard A White Jr., MD
- Hematology & Oncology Physician
- Saint Louis, MO
National Provider Identifier
1821088550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 34617
- Practice address
- 12855 N 40 Dr
Suite 200
Saint Louis, MO 63141-8635 - Phone
- (314) 628-1210
- Fax
- (314) 628-1220
- NPI assigned
- Oct 25, 2005
- Last updated
- Dec 11, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 34617 | MO | Primary |
Addresses
Primary practice location
12855 N 40 Dr
Suite 200
Saint Louis, MO 63141-8635
Mailing address
12855 N 40 Dr
Suite 200
Saint Louis, MO 63141-8635
Phone (314) 628-1210
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34617 | MO | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Support Services | Past | Accepting new patients | |
| Arch Medical Services Inc | Past | Accepting new patients | |
| Arch Medical Services, Inc. | Hematology & Oncology | Past | Accepting new patients |
| Mercy Clinic Adult Critical Care, LLC | Past | Accepting new patients | |
| St. John's Mercy Support Services | Past | Accepting new patients |
Organizations & group practices 5
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.
-
dba The Center for Cancer Care and Research
- Oncology Clinic/Center
- Saint Louis, MO
- NPI 1306856422
-
dba The Center for Cancer Care and Research
- Oncology Clinic/Center
- Washington, MO
- NPI 1508995796
Hematology & Oncology
-
- Critical Care Medicine (Internal Medicine) Physician
- Saint Louis, MO
- NPI 1730119421
-
- Cardiovascular Disease Physician
- Washington, MO
- NPI 1912020397
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197331200000",
"number": "1821088550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12855 N 40 DR",
"address_2": "SUITE 200",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631418635",
"telephone_number": "314-628-1210",
"fax_number": "314-628-1220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12855 N 40 DR",
"address_2": "SUITE 200",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631418635",
"telephone_number": "314-628-1210",
"fax_number": "314-628-1220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "LEONARD",
"middle_name": "A",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-25",
"last_updated": "2007-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "MO",
"license": "34617",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.