JOHN M WHITE (NPI# 1558389833) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558389833 |
| Entity Type | Individual |
| Full Name | JOHN M WHITE |
| Credential | PA-C |
| Practice Address |
3217 Mabel St Shreveport LA 71103 |
| Mailing Address |
3217 Mabel St Shreveport LA 71103-4022 |
| Practice Telephone | 3186319121 |
| Practice Fax Number | 3186319126 |
| Mailing Telephone | 3186319121 |
| Mailing Fax Number | 3186319126 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2018-06-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
A10390 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1509264 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568906717 | John Alexander White Jr. | Reflexologist | 2501 Blue Ridge Rd Ste G160, Raleigh, NC 27607-6366 | 2016-12-07 |
| 1538527189 | John Michael White | Counselor | 10070 Greenwell Springs Rd, Baton Rouge, LA 70814-4519 | 2016-02-10 |
| 1043681588 | John White | Registered Nurse | 100 Interstate Park Dr Ste 100, Montgomery, AL 36109-5402 | 2015-10-09 |
| 1659755049 | John White | Dentist | 1101 E. Leigh Street, Perkinson Building, Graduate Periodontics, Richmond, VA 23298 | 2015-07-15 |
| 1184051146 | John William White Jr. | Social Worker | 9 Elm Rd, Cromwell, CT 06416-2164 | 2013-10-03 |
| 1720337579 | John Seaton White | Counselor | 2400 Nw 80th St Ste 515, Seattle, WA 98117-4449 | 2012-09-06 |
| 1689923799 | John Charles White | Social Worker | 502 Blakely St., Dunmore, PA 18512 | 2012-09-05 |
| 1336404599 | John Richard White | Nuclear Medicine | 4400 Palos Verdes Dr E, Rancho Palos Verdes, CA 90275-6474 | 2012-07-12 |
| 1396031076 | John Richard White Jr. | Pharmacist | 6900 Bronco Ln, Summerfield, NC 27358-7800 | 2011-06-22 |
| 1700109774 | John Robert White | Counselor | 6324 Marchand St., Pittsburgh, PA 15204-4312 | 2010-03-05 |
| Street Address |
3217 MABEL ST |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861495822 | Michael Bivens Brannan | Internal Medicine | 3217 Mabel St, Shreveport, LA 71103-4022 | 2005-05-24 |
| 1770083164 | Shreveport Sedation Associates LLC | Nurse Anesthetist, Certified Registered | 3217 Mabel St, Shreveport, LA 71103-4022 | 2018-02-13 |
| 1275051229 | Dustin Lane Chapman Hadley | Physician Assistant | 3217 Mabel St, Shreveport, LA 71103 | 2017-08-30 |
| 1316492770 | Angela Price Booker | Nurse Practitioner | 3217 Mabel St, Shreveport, LA 71103-4022 | 2016-08-15 |
| 1497101091 | Daniel Robert Martin | Dietitian, Registered | 3217 Mabel St, Shreveport, LA 71103-4022 | 2016-05-12 |
| 1386997351 | Jeremy Payne Davis | Nurse Practitioner | 3217 Mabel St, Shreveport, LA 71103-4022 | 2012-10-16 |
| 1659677540 | Brandi Barber Stephens | Nurse Practitioner | 3217 Mabel St, Shreveport, LA 71103-4022 | 2011-02-10 |
| 1932349412 | Natravis R. Cox | Internal Medicine | 3217 Mabel St, Shreveport, LA 71103 | 2009-02-24 |
| 1518105774 | Lauren Malu Strange | Nurse Anesthetist, Certified Registered | 3217 Mabel St, Shreveport, LA 71103-4022 | 2009-01-27 |
| 1922254002 | Joann E Warrick | Colon & Rectal Surgery | 3217 Mabel St, Shreveport, LA 71103 | 2008-08-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083124887 | Elizabeth Ponder | Case Manager/Care Coordinator | 404 Hearne Avenue, Shreveport, LA 71103 | 2017-10-05 |
| 1245648393 | Madiha Tariq | General Acute Care Hospital | Rheumatology Clinic, 1501 Kings Hwy, Sheveport, LA 71103 | 2014-07-31 |
| 1659782688 | Jennifer G Smith | Pharmacist | 1725 Claiborne Ave, Shreveport, LA 71103 | 2014-05-13 |
| 1336568823 | Taylor Jieun Jung | Student in an Organized Health Care Education/Training Program | Lsu Health Sciences Center 1501 Kings Highway, Department of Oral & Maxillofacial Surgery Room 530, Shreveport, LA 71103 | 2014-04-10 |
| 1578984746 | Jamie Terrell | Pharmacist | 1625 Claiborne Ave, Shreveport, LA 71103 | 2013-12-13 |
| 1346675188 | Srijan Tandukar | Internal Medicine | 2751 Albert L Bicknell Dr Ste 2b, Shreveport, LA 71103 | 2013-09-12 |
| 1699017681 | Deanna Elise Mossallati | Internal Medicine | 8551 Greenwood Rd, Suite 410, Shreveport, LA 71103 | 2013-03-18 |
| 1346527330 | Tim M Smith | Clinical Exercise Physiologist | 3200 Greenwood Rd., Shreveport, LA 71103 | 2011-11-04 |
| 1144451683 | Second Chance Recovery | Durable Medical Equipment & Medical Supplies | 3816 Linwood, Shreveport, LA 71103 | 2009-07-31 |
| 1093919920 | Neeraj Singh | Internal Medicine | 2751 Albert L Bicknell Dr Fl 4, Shreveport, LA 71103 | 2007-06-13 |
| Find all providers in zip 71103 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790228013 | Brian Keith Fontenot | Physician Assistant | 2751 Albert L Bicknell Dr Ste 5c, Shreveport, LA 71103-3943 | 2016-11-18 |
| 1831412626 | Christopher Micheal Magill | Physician Assistant | 2551 Greenwood Rd Ste 210, Shreveport, LA 71103-3985 | 2010-03-08 |
| 1851401426 | Teresa Bigler | Physician Assistant | 1606 Kings Hwy, Shreveport, LA 71103-4128 | 2006-08-30 |
| 1730118365 | Tina Faith Gentry | Physician Assistant | 7925 Youree Dr Suite 280b, Shreveport, LA 71105-5538 | 2006-07-03 |
| 1487616538 | David Stanley Staton | Physician Assistant | Overton Brooks Vamc, 510 East Stoner Ave, Shreveport, LA 71101 | 2006-04-04 |
| 1114924404 | Mary Mcferren | Physician Assistant | 1455 E Bert Kouns Industrial Loop # 200, Shreveport, LA 71105 | 2005-07-01 |
| 1487252029 | Melissa Raney | Physician Assistant | 2709 Mackey Ln, Shreveport, LA 71118-2556 | 2020-10-15 |
| 1629683230 | Amanda Renae Simmons | Physician Assistant | 1541 Kings Hwy, Shreveport, LA 71103-4228 | 2020-09-10 |
| 1700496312 | Caroline Leigh Harris | Physician Assistant | 1541 Kings Hwy, Shreveport, LA 71103-4228 | 2020-08-07 |
| 1811459449 | Lyndsey Pate Day | Physician Assistant | 1541 Kings Hwy, Shreveport, LA 71103-4228 | 2019-04-02 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71103 |
Please comment or provide details below to improve the information on JOHN M 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.