KEITH DOUGLAS WHITE


Address: 12050 Lake Ave Apt 504, Lakewood, OH 44107-1872
Phone: 2162313772

KEITH DOUGLAS WHITE (NPI# 1518475268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518475268
Entity Type Individual
Full Name KEITH DOUGLAS WHITE
Practice Address 12050 Lake Ave Apt 504
Lakewood
OH 44107-1872
Practice Telephone 2162313772
Practice Fax Number 2162313772
Mailing Telephone 2162313772
Mailing Fax Number 2162313772
Enumeration Date 2018-01-16
Last Update Date 2018-01-16
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
RN960110 OH Behavioral Health & Social Service Providers

Other Providers KEITH WHITE

NPI Name Taxonomy Address Enumeration
1558620278 Keith Anthony White Psychiatry & Neurology 300 Valley St Ne, Abingdon, VA 24210-2912 2012-05-15
1457491318 Keith Alan White Counselor 12505 Grandview Rd, Grandview, MO 64030 2007-02-07
1447347703 Keith Allen White Chiropractor 2120 West 25th, Suite A, Lawrence, KS 66047 2006-10-06
1720529241 Keith White Sr. Social Worker 2392 Edgewood Ave N, Jacksonville, FL 32254-1725 2017-03-16
1831372671 Keith Turreff White Dentist 1855 San Miguel Dr, Suite 20, Walnut Creek, CA 94596-5279 2007-12-16
1821217845 Keith White Family Medicine 2500 Alhambra Ave, Martinez, CA 94553-3156 2007-04-25
1972639870 Keith L White Dentist 800 Rose St Rm D104, University of Kentucky College of Dentistry, Lexington, KY 40536-0297 2007-02-26
1790825602 Keith Douglas White Dentist 2935 Breezewood Ave, Suite200, Fayetteville, NC 28303-5284 2007-02-08
1528146925 Keith A White Counselor 114 N Washington Street, Suite 25-30, Easton, MD 21601 2006-11-02
1407959422 Keith Allen White Family Medicine 1430 Monmouth St, Independence, OR 97351 2006-09-06

Office Location

Street Address 12050 LAKE AVE APT 504
City LAKEWOOD
State OH
Zip Code 44107-1872

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1326522210 Lawrence M Roth Social Worker 14701 Detroit Ave Ste 363, Lakewood, OH 44107 2018-09-18
1376065730 Fareeha Khan Internal Medicine 12540 Edgewater Drive, Apt 411, Lakewood, OH 44107 2017-07-07
1912433756 Julie Ann Foucher-urcuyo Family Medicine 14601 Detroit Ave, Fl 2, Lakewood, OH 44107 2017-05-11
1225563661 Elizabeth Ann Rainbolt Family Medicine 14601 Detroit Ave Fl 2, Lakewood, OH 44107 2017-04-24
1255882551 Kristen Murray Dietitian, Registered 14900 Detroit Ave Ste 207, Lakewood, OH 44107 2016-10-21
1265828131 David Thomas Jonke Dentist 15640 Madison Ave., Lakewood, OH 44107 2015-04-08
1760885941 Debra Watkins Home Health Aide 1510 Newman Ave Apt 406, Lakewood, OH 44107 2014-10-02
1396155198 Monica M Owen Occupational Therapist 9200 Biddulph Rd., Brooklyn, OH 44107 2014-05-01
1730512229 Marsha Elaine Favors Licensed Practical Nurse 1448 Lakeland Ave, Lakewood, OH 44107 2013-08-20
1508130006 Ruth Rachel Raciniewski Counselor 15200 Madison Avenue, Lakewood, OH 44107 2012-03-01
Find all providers in zip 44107

Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1407465826 Polly L Jason Counselor 11720 Edgewater Dr Apt 816, Lakewood, OH 44107-6730 2020-07-31
1700409661 Mechelle Lynn Schrage Counselor 4928 Pearce Ave, Lakewood, CA 90712-2751 2020-05-26
1487276325 Teresa Rose Alvarez Counselor 1215 Nj-70 W, Lakewood, NJ 08701 2020-05-14
1659910750 Dorothy Chippendale Counselor 501 Prospect St Bldg 1a, Lakewood, NJ 08701-5026 2020-01-06
1215597950 Erika Lynn Marshall Counselor 15316 Grant Ave Sw, Lakewood, WA 98498-2019 2019-06-14
1629632542 Lyndsey Klemme Counselor 13701 W Jewell Ave Ste 6, Lakewood, CO 80228-4139 2019-04-25
1003394446 Robert Michael Schlesinger Counselor 5150 Candlewood St Ste 13a, Lakewood, CA 90712 2018-07-28
1952890584 Kinue Langhofer Counselor 5706 W Asbury Pl Apt 102, Lakewood, CO 80227-2569 2018-05-09
1952801854 Carol Jeanette Counts Counselor 2099 Wadsworth Blvd Ste P, Lakewood, CO 80214-5733 2018-02-16
1215449533 Alexander J Rigda Counselor 1257 W Clifton Blvd Fl 1, Lakewood, OH 44107-1008 2017-10-26
Find all providers in LAKEWOOD

Competitor

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City LAKEWOOD
Zip Code 44107

Improve Information

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Dataset Information

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.

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