MISS MARK WHITE (NPI# 1619455359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619455359 |
| Entity Type | Individual |
| Full Name | MISS MARK WHITE |
| Credential | PA-C |
| Practice Address |
5848 S Fashion Blvd Murray UT 84107-6157 |
| Mailing Address |
Po Box 30180 Salt Lake City UT 84130-0180 |
| Practice Telephone | 8013148300 |
| Enumeration Date | 2018-08-03 |
| Last Update Date | 2019-06-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 11107589-1206 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013270552 | Mark Anthony White Jr. | Massage Therapist | 2220 N Trumpeter Dr, Mount Vernon, WA 98273-8968 | 2012-06-20 |
| 1679746234 | Mark Allen White | Counselor | 1025 Meadowbrook Ave, Prague, OK 74864 | 2008-04-03 |
| 1730300658 | Mark Edward White | Dentist | 2835 Eastern Ave #3, Sacramento, CA 95821-5400 | 2007-05-01 |
| 1962586776 | Mark White | Urology | The Urological Institute of Northeastern New York, South Clinical Campus, 23 Hackett Blvd., Albany, NY 12208 | 2006-10-25 |
| 1881793644 | Mark Philip White | Emergency Medicine | Rr #1 Box 1000, Greene County General, Linton, IN 47441-9457 | 2006-09-21 |
| 1710080882 | Mark Daniel White | Chiropractor | 2427 Thomas Dr, Panama City, FL 32408 | 2006-09-06 |
| 1689698581 | Mark R White | Specialist/Technologist | 4530 Se School Rd, Greensboro, NC 27406-9784 | 2006-07-26 |
| 1992748180 | Mark Douglas White | Family Medicine | 5495 Maple Lane, Maple Lane, Fayetteville, WV 25840-9589 | 2006-06-14 |
| 1629028980 | Mark White | Marriage & Family Therapist | 322 Elton Hills Dr Nw, Rochester, MN 55901-2476 | 2006-05-10 |
| 1962491902 | Mark S White | Optometrist | 1002 N Us 27, Saint Johns, MI 48879-1129 | 2005-10-20 |
| Street Address |
5848 S FASHION BLVD |
| City | MURRAY |
| State | UT |
| Zip Code | 84107-6157 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861402331 | Cathy J Gonzales | Nurse Practitioner | 5848 S Fashion Blvd, Murray, UT 84107-6121 | 2006-08-08 |
| 1528689023 | Laurie Evans | Specialist/Technologist | 5848 S Fashion Blvd, Murray, UT 84107-6157 | 2020-05-06 |
| 1639654726 | Jenna K Ellis | Dietitian, Registered | 5848 S Fashion Blvd, Murray, UT 84107-6157 | 2018-09-25 |
| 1891276291 | Ranae Michelle Gonzales | Nurse Practitioner | 5848 S Fashion Blvd, Murray, UT 84107-6170 | 2018-08-23 |
| 1396262424 | Jane Kofford Ford | Nurse Practitioner | 5848 S Fashion Blvd, Murray, UT 84107-6157 | 2017-08-29 |
| 1760906572 | Claire Siekaniec | Dietitian, Registered | 5848 S Fashion Blvd, Murray, UT 84107-6157 | 2017-08-02 |
| 1336690775 | Anna N Reid | Nurse Practitioner | 5848 S Fashion Blvd, Murray, UT 84107-6157 | 2016-10-20 |
| 1952754756 | Michelle Lee Duncan | Nurse Practitioner | 5848 S Fashion Blvd, Murray, UT 84107-6157 | 2016-07-16 |
| 1215327838 | Lori Cole | Dietitian, Registered | 5848 S Fashion Blvd, Murray, UT 84107-6157 | 2015-02-03 |
| 1629467055 | Ashley Hagensick | Dietitian, Registered | 5848 S Fashion Blvd, Murray, UT 84107-6157 | 2015-01-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902410517 | Brielle Nicole Poulter | Student in an Organized Health Care Education/Training Program | 345 East 4500 So #260, Murray, UT 84107 | 2020-09-01 |
| 1467016592 | Ashlee Brown | Social Worker | C-134, 5284 Commerce Drive, Murray, Murray, UT 84107 | 2019-04-24 |
| 1568940633 | Samantha Duff | Occupational Therapist | 5770 S Fashion Blvd, Bldg 5 Ste 201, Murray, UT 84107 | 2018-08-01 |
| 1881185247 | Derek John Sharp | Occupational Therapist | 5770 S Fashion Blvd, Bldg #5, Suite 210, Murray, UT 84107 | 2018-05-22 |
| 1093223091 | Erin Nicole Hill | Counselor | 345 East 4500 South Suite 260, Murray, UT 84107 | 2018-01-12 |
| 1588171219 | Nicole Danielle Jensen | Counselor | 345 East 4500 South, Suite 260, Murray, UT 84107 | 2018-01-03 |
| 1043725799 | Greater Endodontics LLC | Dentist | 5334 South Woodrow Street, Suite 201, Salt Lake City, UT 84107 | 2017-12-04 |
| 1043739667 | Karyn K Hodge | Audiologist | 4500 So. 777. E. Ste #110, Murray, UT 84107 | 2017-09-14 |
| 1912426750 | Brandon C Burton | Specialist/Technologist, Other | Cta Community Supports 4444 S, 700 E Suite 203, Salt Lake City, UT 84107 | 2017-09-13 |
| 1396261152 | Megan Lehane Delano | Plastic Surgery | 5169 Cottonwood St Ste 420, Murray, UT 84107 | 2017-08-14 |
| Find all providers in zip 84107 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447725247 | Shonti G. Breisch | Physician Assistant | 6150 S Vineway Cir, Murray, UT 84121-1947 | 2018-10-08 |
| 1043705866 | Jeffery Mccleve | Physician Assistant | 5323 S Woodrow St Ste 100, Murray, UT 84107-5842 | 2018-06-25 |
| 1518402098 | Philip John Swink | Physician Assistant | 650 E 4500 S Ste 100, Murray, UT 84107-4536 | 2016-12-20 |
| 1760849657 | Molly Ann Nowill | Physician Assistant | 5169 S Cottonwood St Ste 501a, Murray, UT 84107-6767 | 2016-01-22 |
| 1114399839 | Scott West | Physician Assistant | 5169 S Cottonwood St Ste 510, Murray, UT 84107-6770 | 2015-10-21 |
| 1679901169 | Jennifer Aileen Wight | Physician Assistant | 5169 S Cottonwood St Ste 440, Murray, UT 84107-6774 | 2013-10-22 |
| 1164728960 | Lex Kiyoshi Grimley | Physician Assistant | 5169 Cottonwood St Ste 520, Murray, UT 84107-6767 | 2011-01-27 |
| 1760618730 | Kelly Lynae Richardson | Physician Assistant | 5121 S Cottonwood St Ste 320, Murray, UT 84107-5701 | 2009-06-04 |
| 1184887051 | Meredith Evin Pike | Physician Assistant | 5450 S Green St, Murray, UT 84123-5632 | 2008-07-09 |
| 1215091525 | Matthew M Neddo | Physician Assistant | 5911 S Fashion Blvd, Murray, UT 84107-7352 | 2006-12-21 |
| Find all providers in MURRAY | ||||
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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.