Gordon Ellis White II MD LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD.025398 Issued in LA

Legal business name

GORDON ELLIS WHITE II MD LLC

Practice address

301 W Boundary Ave
Winnfield, LA 71483-3427

Phone

(318) 648-3034

Fax

(318) 648-3104

NPI assigned

Nov 26, 2013

Last updated

Nov 26, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Gordon E White, MDNPI 1639169485

Title

Owner

Phone

(318) 801-4070

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gordon Ellis White II, M.D.

  • Military Health Care Provider
  • Danville, IL
  • NPI 1639169485
  Authorized official Same address or phone

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

{
    "created_epoch": "1385424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385424000000",
    "number": "1881024933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 W BOUNDARY AVE",
            "city": "WINNFIELD",
            "state": "LA",
            "postal_code": "714833427",
            "telephone_number": "318-648-3034",
            "fax_number": "318-648-3104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W BOUNDARY AVE",
            "city": "WINNFIELD",
            "state": "LA",
            "postal_code": "714833427",
            "telephone_number": "318-648-3034",
            "fax_number": "318-648-3104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GORDON ELLIS WHITE II MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-26",
        "last_updated": "2013-11-26",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "GORDON",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-801-4070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "MD.025398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Future Expectations Community Care Services
• Hughes Donavan Gaddis, D.D.S.
• Terri Kay Garlington, RPH
• Gentle Care Sitting Service
• Jamie Golemon, NP
• GPN Winnfield LLC
• Stephanie Collier Guidry, M.D.
• Shannon Hawkins
• John Spencer Hedrick, DC
• Home Care Louisiana

• Family Medicine Physician in Winnfield, LA
• Providers in Winnfield, LA by specialty
• Family Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2013; 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.