DR. MARK DOUGLAS WHITE


Address: 5495 Maple Lane, Maple Lane, Fayetteville, WV 25840-9589
Phone: 3045741888

DR. MARK DOUGLAS WHITE (NPI# 1992748180) 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) 1992748180
Entity Type Individual
Full Name DR. MARK DOUGLAS WHITE
Credential MD
Practice Address 5495 Maple Lane
Maple Lane
Fayetteville
WV 25840-9589
Mailing Address 5495 Maple Lane
Fayetteville
WV 25840-9589
Practice Telephone 3045741888
Practice Fax Number 3045741891
Mailing Telephone 3045741888
Mailing Fax Number 3045741891
Enumeration Date 2006-06-14
Last Update Date 2013-03-26
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 14161 WV Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WV 0057307000 05

Other Providers MARK WHITE

NPI Name Taxonomy Address Enumeration
1013270552 Mark Anthony White Jr. Massage Therapist 2220 N Trumpeter Dr, Mount Vernon, WA 98273-8968 2012-06-20
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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
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
1649279837 Mark A. White Neurological Surgery 70 S Cleveland Ave, Westerville, OH 43081-1397 2005-07-19

Office Location

Street Address 5495 MAPLE LANE
MAPLE LANE
City FAYETTEVILLE
State WV
Zip Code 25840-9589

Providers in the same location

NPI Name Taxonomy Address Enumeration
1952311722 Lewis A. Cook Family Medicine 5495 Maple Lane, Fayetteville, WV 25840-1413 2006-08-08

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1447766639 Nancy Carol Myles Technician 171 Wood Rd, Fayetteville, WV 25840 2017-12-26
1598933954 Kembra Anne Crist Registered Nurse 111 Fayette Avenue, Fayette County Boe, Fayetteville, WV 25840 2008-02-19
1003004854 Edward Lee Winter Psychologist 111 Fayette Ave., Fayette County Schools, Fayetteville, WV 25840 2007-10-05
1811109432 Anita Louise Swanson Physical Therapist 111 Fayette Ave, Fayetteville, WV 25840 2007-05-04
1003964008 Krista L Copenhaver-mackowiak Nurse Anesthetist, Certified Registered 613 Crooked Run Rd, Fayetteville, WV 25840 2007-01-08
1922171024 Carl Arthur Hansen Dentist 215 North Court St, Fayetteville, WV 25840 2006-11-16
1932202447 Appalachian Regional Healthcare Clinic/Center 436 Elizabeth Way, Fayetteville, WV 25840 2006-09-07
1154424810 West Virginia Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 72 Whitewater Ave, Fayetteville, WV 25840 2006-09-07
1447241310 Karen L. Pettry-hultman Family Medicine Rr 3 Box 9, Fayetteville, WV 25840 2005-10-31
1598125577 Jeanne Black Registered Nurse 111 Fayette Avenue, Fayette County Schools, Fayetteville, WV 25840 2016-03-03
Find all providers in zip 25840

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1376169185 Raheem Lalani Family Medicine 230 Fieldstone Way, Fayetteville, GA 30215-8170 2020-06-18
1821619370 Kelly R. Mccarty Family Medicine 5872 W Bannister Dr, Fayetteville, AR 72704-6536 2020-05-06
1720620230 Vector Health and Wellness, LLC Family Medicine 1267 N Steamboat Dr Ste 3, Fayetteville, AR 72704-7148 2019-10-16
1295382182 Nimota Motunrayo Akintoye Family Medicine 140 Briergate Pl, Fayetteville, GA 30214-3931 2019-08-24
1609332725 Fastmed Health Nc, Pllc Family Medicine 150 Francam Dr, Fayetteville, NC 28311-4500 2019-02-13
1013486638 K E Management Services Family Medicine 1420 E Augustine Ln Ste 7, Fayetteville, AR 72703-4995 2018-11-14
1659896751 Melissa Holt Family Medicine 108 Medical Center Blvd Ste G-50, Fayetteville, TN 37334-2741 2017-08-09
1124477484 Mark William Guelzow Family Medicine 4101 Medical Center Dr Ste 1c, Fayetteville, NY 13066-6600 2016-06-08
1962865659 Tracie Fullove Family Medicine 3162 W Martin Luther King Blvd Ste 13-14, Fayetteville, AR 72704-7679 2016-03-31
1053778936 Linda Nancy Robinson Family Medicine 7107 Thorntree Hill Dr, Fayetteville, NY 13066-9790 2016-01-22
Find all providers in FAYETTEVILLE

Competitor

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City FAYETTEVILLE
Zip Code 25840

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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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