Organization Active NPI

Suji White MD PA

  • Internal Medicine Physician
  • Tyler, TX
National Provider Identifier
1851556443
Registry record updated Jul 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SUJI WHITE MD PA
Practice address
455 Rice Rd
Suite 111
Tyler, TX 75703-3604
Phone
(903) 534-0911
Fax
(903) 534-8882
NPI assigned
Jul 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2008

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

Authorized official

Name
Dr. Sujatha A White, MDNPI 1184649691
Title
Owner
Phone
(903) 534-0911

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

455 Rice Rd
Suite 111
Tyler, TX 75703-3604

Mailing address

5701 Old Bullard Rd
PMB 113
Tyler, TX 75703-4340
Phone (903) 534-0911

National Provider Directory

National Provider Directory

Locations

455 Rice Rd
Ste 111
Tyler, TX 75703
Phone (903) 534-0911

5701 Old Bullard Rd
Tyler, TX 75703

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1216771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216771200000",
    "number": "1851556443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5701 OLD BULLARD RD",
            "address_2": "PMB 113",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757034340",
            "telephone_number": "903-534-0911",
            "fax_number": "903-534-8882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 RICE RD",
            "address_2": "SUITE 111",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757033604",
            "telephone_number": "903-534-0911",
            "fax_number": "903-534-8882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUJI WHITE MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-23",
        "last_updated": "2008-07-23",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "SUJATHA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-534-0911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.