SAMUEL C WHITE (NPI# 1003953704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003953704 |
| Entity Type | Individual |
| Full Name | SAMUEL C WHITE |
| Credential | MD |
| Practice Address |
300 Union St Evansville WI 53536-1175 |
| Practice Telephone | 6088825613 |
| Practice Fax Number | 6088826339 |
| Mailing Telephone | 6088825613 |
| Mailing Fax Number | 6088826339 |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2011-11-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 50076 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | MERCYCARE INSURANCE | WHITESAM | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902416803 | Samuel Eric White | Pharmacist | 7140 W Pershing Ct, Visalia, CA 93291 | 2020-08-05 |
| 1164942819 | Samuel Wesley White | Pediatrics | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2017-06-23 |
| 1912391129 | Samuel White Jr. | Counselor | 1430 Parkside Ave, Ewing, NJ 08638-2921 | 2015-03-25 |
| 1932116787 | Samuel T. White | Internal Medicine | 3288 Moanalua Rd, Honolulu, HI 96819-1469 | 2006-08-02 |
| 1619916434 | Samuel White | Nurse Anesthetist, Certified Registered | 1220 Jefferson St, Laurel, MS 39440-4355 | 2006-06-06 |
| Street Address |
300 UNION ST |
| City | EVANSVILLE |
| State | WI |
| Zip Code | 53536-1175 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053465989 | Kimberlyn J Otto | Social Worker | 300 Union St, Evansville, WI 53536-1175 | 2007-01-22 |
| 1376676189 | Mercy Health System Corporation | Durable Medical Equipment & Medical Supplies | 300 Union St, Evansville, WI 53536-1175 | 2007-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851817787 | Tammy Ann Reed | Physical Therapy Assistant | 470 Garfield Avenue, Evansville, WI 53536 | 2017-08-22 |
| 1396291522 | Quadmed LLC | Clinic/Center | 101 County Highway M, Evansville, WI 53536 | 2016-08-28 |
| 1821221649 | Jeff Richards | Chiropractor | 825 Brown School Road, Evansville, WI 53536 | 2009-08-27 |
| 1336278522 | Emily Peterson | Physical Therapist | 811 Brown School Road, Evansville, WI 53536 | 2007-03-05 |
| 1609863794 | Evansville Manor, Inc. | Skilled Nursing Facility | 470 Garfield Ave, Evansville, WI 53536-1014 | 2005-10-04 |
| 1356852958 | Evm Operations LLC | Skilled Nursing Facility | 470 Garfield Ave, Evansville, WI 53536-1014 | 2017-10-23 |
| 1487172193 | Samantha Rae Arnold | Occupational Therapist | 470 Garfield Ave, Evansville, WI 53536-1014 | 2017-09-01 |
| 1730605247 | Karmen Lee Maag | Occupational Therapy Assistant | 470 Garfield Ave, Evansville, WI 53536-1014 | 2017-08-16 |
| 1700218724 | Kim Ellen Kline | Physical Therapy Assistant | 470 Garfield Ave, Evansville, WI 53536-1014 | 2013-08-01 |
| 1497029995 | Kathryn Ann Dauwalter | Occupational Therapist | 470 Garfield Ave, Evansville, WI 53536-1014 | 2012-02-29 |
| Find all providers in zip 53536 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104317346 | Tri State Community Clinic, LLC | Family Medicine | 1033 E Mt. Pleasant Rd., Ste. D., Evansville, IN 47725 | 2018-05-23 |
| 1528557840 | Deaconess Clinic, Inc. | Family Medicine | 2007 W Franklin St Ste B, Evansville, IN 47712 | 2018-05-02 |
| 1598252652 | Herbert Dan Adams | Family Medicine | 501 Wyndclyff Dr, Evansville, IN 47711-2789 | 2018-04-15 |
| 1326568775 | Midwest Scope LLC | Family Medicine | 1401 Professional Blvd Ste 100, Evansville, IN 47714-8011 | 2017-06-26 |
| 1609303015 | Kyle Lemond | Family Medicine | 1000 S Green River Rd, Evansville, IN 47715-6802 | 2017-05-16 |
| 1871944041 | Anne Alexis | Family Medicine | 3801 Bellemeade Ave Ste 200b, Evansville, IN 47714-0114 | 2016-06-28 |
| 1760864987 | Jared D Mitchell | Family Medicine | 14020 Old State Rd Ste 100, Evansville, IN 47725-1121 | 2015-06-24 |
| 1396126710 | Lynniece A Kocher | Family Medicine | 8600 N Kentucky Avenue, Evansville, IN 47722 | 2015-06-11 |
| 1205194677 | Sanders Medical, LLC | Family Medicine | 2516 Washington Ave, Evansville, IN 47714-2404 | 2012-04-24 |
| 1194090308 | Kenneth E Yagodich, Md, PC | Family Medicine | 1200 Heinlein Rd, Evansville, IN 47725-6379 | 2012-03-21 |
| Find all providers in EVANSVILLE | ||||
| City | EVANSVILLE |
| Zip Code | 53536 |
Please comment or provide details below to improve the information on SAMUEL C WHITE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.