NPIMap

Individual provider Active NPI

Elizabeth White, MD

  • Internal Medicine Physician
  • Whitefish, MT
National Provider Identifier
1972579431
Registry record updated May 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
10521 Issued in MT
Practice address
1111 Baker Ave
Glacier Medical Associates
Whitefish, MT 59937-2901
Phone
(406) 862-2515
Fax
(406) 862-4229
NPI assigned
Feb 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 10521 MT Primary

Addresses

Primary practice location

1111 Baker Ave
Glacier Medical Associates
Whitefish, MT 59937-2901

Mailing address

1111 Baker Ave
Glacier Medical Associates
Whitefish, MT 59937-2901
Phone (406) 862-2515

Other identifiers 12

IdentifierTypeStateIssuer
000091456OtherMTBLUECROSS/SHIELD PIN
0355628MedicaidMT
CI2709OtherMTRAILROAD MEDIARE GRP ID#
0150358MedicaidMT
27D0411341OtherMTCLIA ID#--LAB CERT
810350909OtherMTFEIN
P00249493OtherMTRAILROAD MEDICARE PIN#
0000095270OtherMTBCBS
1104882232OtherMTGLACIER MEDICAL ASSOC NPI
000008287OtherMTMEDICARE PART B GRP ID#
0147271MedicaidMT
10521OtherMTMONTANA STATE LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040420001585 MT Practitioner - Internal Medicine 0244226975 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Washington School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Logan Health - WhitefishGroup PAC ID 9335033687, shared by 6 NPIs, 48 clinicians

Practice addresses (Care Compare)

1600 Hospital Way
Whitefish, MT 59937-7849
Phone (406) 863-3500

Hospital & facility affiliations

  • Logan Health - Whitefish Hospital, Whitefish, MT, CCN 271336
  • Logan Health Medical Center Hospital, Kalispell, MT, CCN 270051

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10521MTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Logan Health - Whitefish CurrentSince Aug 5, 2005 Accepting new patients
Logan Health - Whitefish CurrentSince Aug 5, 2005 Accepting new patients
Logan Health - Whitefish CurrentSince Oct 5, 2025 Accepting new patients
Logan Health - Whitefish Past Accepting new patients

Locations

6575 US Highway 93 S
Whitefish, MT 59937
Phone (406) 863-3500

1600 Hospital Way
Whitefish, MT 59937
Phone (406) 863-3500

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1140739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210550400000",
    "number": "1972579431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 BAKER AVE",
            "address_2": "GLACIER MEDICAL ASSOCIATES",
            "city": "WHITEFISH",
            "state": "MT",
            "postal_code": "599372901",
            "telephone_number": "406-862-2515",
            "fax_number": "406-862-4229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 BAKER AVE",
            "address_2": "GLACIER MEDICAL ASSOCIATES",
            "city": "WHITEFISH",
            "state": "MT",
            "postal_code": "599372901",
            "telephone_number": "406-862-2515",
            "fax_number": "406-862-4229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-24",
        "last_updated": "2008-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MT",
            "license": "10521",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS/SHIELD PIN",
            "identifier": "000091456",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0355628",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDIARE GRP ID#",
            "identifier": "CI2709",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0150358",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA ID#--LAB CERT",
            "identifier": "27D0411341",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEIN",
            "identifier": "810350909",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN#",
            "identifier": "P00249493",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0000095270",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GLACIER MEDICAL ASSOC NPI",
            "identifier": "1104882232",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART B GRP ID#",
            "identifier": "000008287",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0147271",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MONTANA STATE LICENSE",
            "identifier": "10521",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitefish, MT

Sources for this page

Verify at the official NPI Registry.