Individual provider Active NPI

Mark Philip White, M.D.

  • Emergency Medicine Physician
  • Linton, IN
National Provider Identifier
1881793644
Registry record updated Feb 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
01038810A Issued in IN
Practice address
RR #1 Box 1000
Greene County General
Linton, IN 47441-9457
Phone
(812) 847-2281
NPI assigned
Sep 21, 2006
Last updated
Feb 12, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 01038810A IN Primary

Addresses

Primary practice location

RR #1 Box 1000
Greene County General
Linton, IN 47441-9457

Mailing address

3309 E Mulberry CT
Bloomington, IN 47401-2425
Phone (812) 331-2709

Other identifiers 2

IdentifierTypeStateIssuer
100468280 DMedicaidIN
000000594833OtherINBLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040722000858 IN Practitioner - Emergency Medicine 8820078660

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Professionals of Indiana LLC Emergency Medicine Past Accepting new patients
Hoosier Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Midwest Medical Management, P.C. Emergency Medicine Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234396800000",
    "number": "1881793644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3309 E MULBERRY CT",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474012425",
            "telephone_number": "812-331-2709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RR #1 BOX 1000",
            "address_2": "GREENE COUNTY GENERAL",
            "city": "LINTON",
            "state": "IN",
            "postal_code": "474419457",
            "telephone_number": "812-847-2281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "MARK",
        "middle_name": "PHILIP",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2009-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01038810A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100468280 D",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "000000594833",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Linton, IN

Sources for this page

Verify at the official NPI Registry.