NPIMap

Organization Active NPI

White Oak Pediatric Associates

Doing business as White Oak Pediatrics

  • Pediatrics Physician
  • Raleigh, NC
National Provider Identifier
1891939286
Registry record updated Apr 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
2009-00314 Issued in NC
Legal business name
WHITE OAK PEDIATRIC ASSOCIATES
Doing business as
White Oak Pediatrics
Practice address
4414 Lake Boone TRL
Suite 103
Raleigh, NC 27607-7513
Phone
(919) 787-0266
Fax
(919) 571-9314
NPI assigned
Apr 29, 2009
Last updated
Apr 29, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2009

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

Authorized official

Name
Donna Grey Anderson, M.D.NPI 1972555399
Title
Partner/Secretary
Phone
(919) 787-0266

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
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 2009-00314 NC Primary

Addresses

Primary practice location

4414 Lake Boone TRL
Suite 103
Raleigh, NC 27607-7513

Mailing address

4414 Lake Boone TRL
Suite 103
Raleigh, NC 27607-7513
Phone (919) 787-0266

Other names 1

  • WHITE OAK PEDIATRICS Doing business as

National Provider Directory

National Provider Directory
Tax ID family
White Oak Pediatric Assoc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4414 Lake Boone Trl
Ste 103
Raleigh, NC 27607
Phone (919) 787-0266

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HICECA

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1240963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240963200000",
    "number": "1891939286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4414 LAKE BOONE TRL",
            "address_2": "SUITE 103",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276077513",
            "telephone_number": "919-787-0266",
            "fax_number": "919-571-9314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4414 LAKE BOONE TRL",
            "address_2": "SUITE 103",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276077513",
            "telephone_number": "919-787-0266",
            "fax_number": "919-571-9314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE OAK PEDIATRIC ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-29",
        "last_updated": "2009-04-29",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "GREY",
        "authorized_official_title_or_position": "PARTNER/SECRETARY",
        "authorized_official_telephone_number": "919-787-0266",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "2009-00314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WHITE OAK PEDIATRICS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2009; 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.