Christopher Mark White, DO

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

OS20881 Issued in FL

Practice address

125 4TH Ave NE
St Petersburg, FL 33701-3401

Phone

(727) 585-8591

NPI assigned

Apr 7, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH, FL2 enrollments

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 2

Specialty

DermatologyAlso: Micrographic Dermatologic Surgery (MDS)

Education

Midwestern University, Chicago College of Osteopathic Med, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bay Dermatology and Cosmetic Surgery P aGroup PAC ID 7517851215, 25 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

99.15 of 100Reported as group

Promoting interoperability

99

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

Interoperability endpoints

• Direct secure messaging: chriswhite@dermswohio.emadirect.md

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.

• Bay Dermatology and Cosmetic Surgery P a

  • Dermatology Physician
  • Port Richey, FL
  • NPI 1437148996
  Medicare reassignment Care Compare group NPD
• Advanced RX Derm, LLC

  dba Advanced Rx Pharmacy 027

  • Community/Retail Pharmacy
  • St Pete Beach, FL
  • NPI 1053716936
  NPD (past)

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

{
    "created_epoch": "1491523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1962935742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 COMMERCIAL WAY",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346064518",
            "telephone_number": "727-585-8591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 4TH AVE NE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337013401",
            "telephone_number": "727-585-8591"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 Highland Ave N",
            "address_purpose": "LOCATION",
            "city": "Largo",
            "state": "FL",
            "postal_code": "337702530",
            "country_code": "US",
            "telephone_number": "727-585-8591",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7500 Gulf Blvd",
            "address_purpose": "LOCATION",
            "city": "St Pete Beach",
            "state": "FL",
            "postal_code": "337061813",
            "country_code": "US",
            "telephone_number": "727-585-8591",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1130 Commercial Way",
            "address_purpose": "LOCATION",
            "city": "Spring Hill",
            "state": "FL",
            "postal_code": "346064518",
            "country_code": "US",
            "telephone_number": "727-585-8591",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8220 US Highway 19",
            "address_purpose": "LOCATION",
            "city": "Port Richey",
            "state": "FL",
            "postal_code": "346686639",
            "country_code": "US",
            "telephone_number": "727-585-8591",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "34941 US 19 N",
            "address_purpose": "LOCATION",
            "city": "Palm Harbor",
            "state": "FL",
            "postal_code": "346841919",
            "country_code": "US",
            "telephone_number": "727-585-8591",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1009 Dale Mabry Hwy",
            "address_purpose": "LOCATION",
            "city": "Lutz",
            "state": "FL",
            "postal_code": "335483021",
            "country_code": "US",
            "telephone_number": "727-585-8591",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7739 S Suncoast Blvd",
            "address_purpose": "LOCATION",
            "city": "Homosassa",
            "state": "FL",
            "postal_code": "344465004",
            "country_code": "US",
            "telephone_number": "727-585-8591",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITE",
        "first_name": "CHRISTOPHER",
        "middle_name": "MARK",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-07",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "OS20881",
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "FL",
            "license": "OS20881",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "OS20881",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aushaunte F White, APRN
• Brendan White, PT,DPT
• Brittanie Nicole White, RCSWI
• Caitlyn Anne White
• Cherise Denae White
• David Eugene White, LMT
• Denielle White, APRN
• Jessica White, PHARMD
• Kasi Lynn White, PA-C
• Mary V White, MSW LCSW

• Dermatology Physician in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.