DR. MAYA NICOLE WHITE (NPI# 1992182638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992182638 |
| Entity Type | Individual |
| Full Name | DR. MAYA NICOLE WHITE |
| Credential | M.D. |
| Practice Address |
875 Blake Wilbur Dr Palo Alto CA 94304 |
| Mailing Address |
875 Blake Wilbur Dr Palo Alto CA 94304-2205 |
| Practice Telephone | 6504986000 |
| Mailing Telephone | 6504986000 |
| Enumeration Date | 2015-05-01 |
| Last Update Date | 2018-06-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
154582 | CA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
875 BLAKE WILBUR DR |
| City | PALO ALTO |
| State | CA |
| Zip Code | 94304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831127646 | Kristan Jan Wheeler | Physician Assistant | 875 Blake Wilbur Dr, Mail Code 5826, Palo Alto, CA 94304-2205 | 2006-06-29 |
| 1720699028 | Tiffany Conelia Brown | Registered Nurse | 875 Blake Wilbur Dr, Palo Alto, CA 94304-2205 | 2020-08-11 |
| 1417578550 | Anna Wilcoxon | Registered Nurse | 875 Blake Wilbur Dr, Palo Alto, CA 94304-2205 | 2020-04-29 |
| 1831732577 | Stephen Siu | Physician Assistant | 875 Blake Wilbur Dr, Palo Alto, CA 94304-2205 | 2019-10-25 |
| 1417590092 | Brian Lasonde | Internal Medicine | 875 Blake Wilbur Dr, Palo Alto, CA 94304-2205 | 2019-10-25 |
| 1013562065 | Amelia Jones | Physician Assistant | 875 Blake Wilbur Dr, Palo Alto, CA 94304-2205 | 2019-08-07 |
| 1164077665 | Tricia S Marcos | Nurse Practitioner | 875 Blake Wilbur Dr, Palo Alto, CA 94304-2205 | 2019-08-02 |
| 1942762430 | Hyunsoo Joshua No | Student in an Organized Health Care Education/Training Program | 875 Blake Wilbur Dr, Palo Alto, CA 94304-2205 | 2019-04-03 |
| 1043783830 | Heather Bernice Boulting | Nurse Practitioner | 875 Blake Wilbur Dr, Palo Alto, CA 94304-2205 | 2019-01-04 |
| 1184119653 | Noah Kastelowitz-lieberman | Student in an Organized Health Care Education/Training Program | 875 Blake Wilbur Dr, Palo Alto, CA 94304-2205 | 2018-06-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477170611 | Richard Engdahl | Specialist/Technologist, Other | 820 Quarry Road, Mc1078 Hf006, Palo Alo, CA 94304 | 2020-07-04 |
| 1720603582 | Lily Wenya Zhou | Psychiatry & Neurology | 780 Welch Road, Suite 350, Stanford Stroke Center, Palo Alto, CA 94304 | 2020-06-08 |
| 1033738521 | Perry Seo Choi | Student in an Organized Health Care Education/Training Program | Dept of Cardiothoracic Surgery, Falk Building, 870 Quarry Rd, Palo Alto, CA 94304 | 2020-04-14 |
| 1073150355 | Tara Mcdermott | Nurse Practitioner | 500 Pasteur Drive, Cardiovascular Intensive Care Unit, Palo Alto, CA 94304 | 2019-12-05 |
| 1811542723 | Mark Henry Chubb | Pediatrics | Stanford Children's Health, 725 Welch Road, Palo Alto, CA 94304 | 2019-08-07 |
| 1194285114 | Cora Steindl | Nurse Practitioner | 300 Pasteur Drive Rm H2512, Stanford, CA 94304 | 2019-03-25 |
| 1407333057 | Deborah Menet Landi | Social Worker | Lucile Packard Children's Hospital Stanford, 725 Welch, Mc 5933, Palo Alto, CA 94304 | 2018-07-26 |
| 1982100798 | Jonathan Hootman | Student in an Organized Health Care Education/Training Program | 900 Quarry Road Extension, Palo Alto, CA 94304 | 2018-04-02 |
| 1093234254 | Adam C Maclellan | Psychiatry & Neurology | Stanford Stroke Center, 780 Welch Road, Suite 350, Palo Alto, CA 94304 | 2017-09-19 |
| 1194248153 | Chanel Beaudoin Cloutier | Plastic Surgery | 770 Welch Road, Suite 400, Palo Alto, CA 94304 | 2017-07-21 |
| Find all providers in zip 94304 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235207911 | William Frank Novotny | Internal Medicine | Vapa Health Care Systems, 3801 Miranda Ave, Palo Alto, CA 94304 | 2006-12-01 |
| 1417590092 | Brian Lasonde | Internal Medicine | 875 Blake Wilbur Dr, Palo Alto, CA 94304-2205 | 2019-10-25 |
| 1457770794 | Danielle Hyunkyung Shin | Internal Medicine | 725 Welch Rd, Palo Alto, CA 94304-1601 | 2014-04-15 |
| 1306263553 | Jacquelyn Nicole Crane | Internal Medicine | 725 Welch Rd, Palo Alto, CA 94304-1601 | 2014-03-26 |
| 1205253465 | Alison Grace Chang | Internal Medicine | 795 El Camino Real, Palo Alto, CA 94301-2302 | 2014-03-26 |
| 1568704724 | Christopher John Severyn | Internal Medicine | 1000 Welch Rd Ste 300, Palo Alto, CA 94304-1812 | 2013-03-25 |
| 1023301074 | Allyson Campbell Spence | Internal Medicine | 3801 Miranda Ave, Ste 111 Oncology Dept, Palo Alto, CA 94304-1207 | 2011-05-24 |
| 1063652386 | Benjamin Kim | Internal Medicine | 725 Welch Rd, Palo Alto, CA 94304-1601 | 2009-02-26 |
| 1962650895 | Bernard M Fine | Internal Medicine | 3801 Miranda Ave, Palo Alto, CA 94304-1207 | 2008-09-04 |
| 1144385758 | Allison Walsh Kurian | Internal Medicine | 875 Blake Wilbur Dr, Palo Alto, CA 94304-2205 | 2006-12-26 |
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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.