GORDON ELLIS WHITE MD,LLC (NPI# 1548457559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548457559 |
| Entity Type | Organization |
| Organization Name | GORDON ELLIS WHITE MD,LLC |
| Practice Address |
201 4th St Medical Plaza, Ste. 2e Alexandria LA 71301-8421 |
| Practice Telephone | 3184439400 |
| Practice Fax Number | 3184429406 |
| Mailing Telephone | 3184439400 |
| Mailing Fax Number | 3184429406 |
| Enumeration Date | 2007-10-03 |
| Last Update Date | 2007-10-26 |
| Authorized Official Name | DR. GORDON WHITE (PHYSICAN) |
| Authorized Official Telephone | 3184439400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 302F00000X | Exclusive Provider Organization | 025398 | LA | Managed Care Organizations |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1423688 | 05 |
| Street Address |
201 4TH ST MEDICAL PLAZA, STE. 2E |
| City | ALEXANDRIA |
| State | LA |
| Zip Code | 71301-8421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205839958 | Philip C. Lindsay | Surgery | 201 4th St, Ste 5b, Alexandria, LA 71301-8421 | 2005-05-24 |
| 1427394873 | Lisa Van Mol | Nurse Practitioner | 201 4th St, Suite 4a, Alexandria, LA 71301-8421 | 2012-12-12 |
| 1831440023 | Michelle O Butler | Nurse Practitioner | 201 4th St, Suite 5b, Alexandria, LA 71301-8421 | 2012-09-27 |
| 1922389006 | Kristin V Williams | Nurse Practitioner | 201 4th St, Suite 4a, Alexandria, LA 71301-8421 | 2011-09-02 |
| 1497073803 | Sabah Varoqua Md -a Medical Corporation | Specialist | 201 4th St, Alexandria, LA 71301-8421 | 2010-05-10 |
| 1952628794 | Samantha B Zeringue | Surgery | 201 4th St, Suite 5b, Alexandria, LA 71301-8421 | 2010-05-03 |
| 1801047659 | Nancy M Gremillion | Nurse Practitioner | 201 4th St, Suite 4a, Alexandria, LA 71301-8421 | 2008-10-09 |
| 1841441995 | James Brian Broussard | Physician Assistant | 201 4th St, Alexandria, LA 71301-8421 | 2008-10-07 |
| 1992972152 | Rajat Gulati | Internal Medicine | 201 4th St, 5a, Alexandria, LA 71301-8421 | 2008-05-15 |
| 1932398880 | Carolyn Rud Voelker | Nurse Practitioner | 201 4th St, Suite 1 A, Alexandria, LA 71301-8421 | 2007-10-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689217457 | Geaux Trans Transportation | Non-emergency Medical Transport (VAN) | 3101 Quail Court Apt A, Alexanadria, LA 71301 | 2019-10-23 |
| 1679115497 | Emily Belgard | Case Manager/Care Coordinator | 1715 Ashley Avenue, Suite A, Alexandria, LA 71301 | 2019-10-14 |
| 1316591878 | Leronisha Murphey | Technician | 1300 Jackson Street, Alexandria, LA 71301 | 2019-08-01 |
| 1144782996 | Ashley Billings | Student in an Organized Health Care Education/Training Program | 403 E 3rd Street Ste 3h, Family Medicine, Alexandria, LA 71301 | 2019-04-02 |
| 1740753110 | Maranda Trotti Voorhies | Nurse Practitioner | 501 Medical Center Dr. Suite 200, Alexandria, LA 71301 | 2019-01-08 |
| 1326565359 | Sheryl Ann Truman | Registered Nurse | 3224 Madonna Drive, Alexandria, LA 71301 | 2017-08-30 |
| 1770001620 | Casey Holts | Counselor | 5760 Goodland Trace, Alexandria, LA 71301 | 2017-08-30 |
| 1942735956 | Transforming Lives, Inc. | Community/Behavioral Health | 1428 Peterman Dr Ste A, Alexandria, LA 71301 | 2017-04-27 |
| 1790216703 | Johnnetta Rutledge | Counselor | 39 Kent Ave, Alexandria, LA 71301 | 2017-03-22 |
| 1104367788 | Clarissa Dione Pugh | Counselor | 23 Tennessee Ave, Alexandria, LA 71301 | 2017-03-15 |
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| Taxonomy Code | 302F00000X |
| Grouping | Managed Care Organizations |
| Classification | Exclusive Provider Organization |
| (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations. |
| Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 15; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58; (3) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174991186 | Agape Center for Troubled Youth | Exclusive Provider Organization | 2013 Macarthur Dr, Bldg 2, Alexandria, LA 71301-3720 | 2015-09-08 |
| 1366777559 | Special Care Services of Louisiana Inc | Exclusive Provider Organization | 3600 Jackson Street Ext, Ste 119, Alexandria, LA 71303-3040 | 2009-10-06 |
| 1538698584 | Choice Providers, LLC | Exclusive Provider Organization | 3600 Jackson St Ste 119, Alexandria, LA 71303-3096 | 2017-06-05 |
| 1588006886 | People United of Louisiana LLC | Exclusive Provider Organization | 3600 Jackson Street Ext, Ste 119, Alexandria, LA 71303-3040 | 2013-07-27 |
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| 1295272623 | Exotic Expressions Inc. | Exclusive Provider Organization | 729 Cecile Blvd, Breaux Bridge, LA 70517-5707 | 2017-01-24 |
| 1689128712 | Early Behavioral Interventions | Exclusive Provider Organization | 1224 N Parkerson Ave, Crowley, LA 70526-3614 | 2016-08-05 |
| 1609329937 | Kiyoshi Washington | Exclusive Provider Organization | 4911 Desire Dr, New Orleans, LA 70126-3535 | 2016-08-03 |
| 1902263643 | The Lighthouse Community Care | Exclusive Provider Organization | 120 Rusty Lane, Houma, LA 70360-0120 | 2016-01-26 |
| 1447626064 | Divinthe Training and Consulting Services, LLC | Exclusive Provider Organization | 623 Franklin Ave, Gretna, LA 70053-2115 | 2015-08-18 |
| 1821481714 | Therapeutic Behavioral Servicess | Exclusive Provider Organization | 605 Silver Lilly Ln, Marrero, LA 70072-1426 | 2015-03-17 |
| 1932520442 | Eye of The Storm Ministries Incorporated | Exclusive Provider Organization | 29 Highway 454, Pineville, LA 71360 | 2013-12-31 |
| 1699010595 | Precious Moments Quality Care, LLC | Exclusive Provider Organization | 508 Laran St, Ville Platte, LA 70586-3737 | 2012-12-03 |
| 1861701153 | Norman L. Dykes, Md, Apmc | Exclusive Provider Organization | 105 Sheridan Dr, Lafayette, LA 70506-2609 | 2010-10-04 |
| 1356655260 | Ky Chiropractic, L.L.C. | Exclusive Provider Organization | 2926 Canal St, Suite A, New Orleans, LA 70119-6304 | 2010-08-03 |
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| City | ALEXANDRIA |
| Zip Code | 71301 |
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| 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.