DR. DIANE WHITE (NPI# 1093778011) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093778011 |
| Entity Type | Individual |
| Full Name | DR. DIANE WHITE |
| Other Name | DR. DIANE WHITE |
| Credential | M.D. |
| Practice Address |
603 Pecan Lane Whiteville NC 28472-2835 |
| Mailing Address |
2914 N Elm St # 183 Lumberton NC 28358-2981 |
| Practice Telephone | 3107803444 |
| Practice Fax Number | 3107803444 |
| Mailing Telephone | 3107803444 |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | BW1823221 | NC | Allopathic & Osteopathic Physicians |
| Y | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
BW1823221 | NC | Allopathic & Osteopathic Physicians |
| N | 2084P0802X |
Psychiatry & Neurology Specialization: Addiction Psychiatry |
BW1823221X | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 1093778011 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 850 Jake Alexander Blvd W Ste G, Salisbury, NC 281471224 | 3107803444 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801387188 | Diane White | Specialist | 1001 Highland Rd, Keeseville, NY 12944-2322 | 2018-05-23 |
| 1922527035 | Diane White | Speech-Language Pathologist | 821 Macarthur Dr, Chicago Heights, IL 60411-1951 | 2017-09-11 |
| 1346591484 | Diane F White | Registered Nurse | W6992 County Road I, Juneau, WI 53039-9747 | 2012-09-28 |
| 1194081885 | Diane Marie White | Nurse Practitioner | 2807 N Glebe Rd, Marymount University Student Health Center, Arlington, VA 22207-4224 | 2012-04-06 |
| 1144528977 | Diane Patricia White | Pharmacist | 39 E May St, Winder, GA 30680-1921 | 2011-03-02 |
| 1619205614 | Diane Elaine White | Contractor | 716 Paul Bunyan Dr Nw, Bemidji, MN 56601-2439 | 2009-12-02 |
| 1619157914 | Diane Marie White | Licensed Practical Nurse | 316 Auborn Ave, Shirley, NY 11967-1631 | 2007-11-05 |
| 1316584865 | Diane Susan White | Nurse Practitioner | 1053 Center St, West Columbia, SC 29169-6749 | 2019-12-03 |
| 1184270126 | Diane White | Pharmacist | 102 W Broad St, Central City, KY 42330-1538 | 2019-08-15 |
| 1871023473 | Diane White | Social Worker | 1201 3rd St Nw, Albuquerque, NM 87102 | 2017-06-15 |
| Street Address |
603 PECAN LANE |
| City | WHITEVILLE |
| State | NC |
| Zip Code | 28472-2835 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023340213 | Allied Behavioral Management, Inc. | Counselor | 603 Pecan Lane, Whiteville, NC 28472-2949 | 2010-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720503568 | Anthony Ruan | Pharmacist | 1728 S Madison St., Whiteville, NC 28472 | 2017-08-12 |
| 1336677699 | Brittany Canady | Nurse Practitioner | 5 Whiteville Towncenter, Whiteville, NC 28472 | 2017-05-31 |
| 1801335773 | Mary Mcneill Hooks | Pharmacist | 612-10 Jefferson Street, Whiteville, NC 28472 | 2017-02-13 |
| 1386180248 | Mickey Worthington | Pharmacist | 20 Whiteville Town Ctr, Whiteville, NC 28472 | 2017-01-16 |
| 1851702138 | Tom Mauney Owens | Pharmacist | 612- 4 Jefferson Street, Whiteville, NC 28472 | 2014-05-08 |
| 1740429778 | Coastal Hearing Centers, Inc | Audiologist | 302 Liberty Street, Whiteville, NC 28472 | 2009-02-15 |
| 1689831653 | Amber Marie Wallace Robinson | Occupational Therapy Assistant | 1472 Pickney Street, Whiteville, NC 28472 | 2008-05-19 |
| 1225236417 | Sandra Pickett | Speech-Language Pathologist | 123 E. Columbus Street, Whiteville, NC 28472 | 2007-07-10 |
| 1306041249 | Kimberlee White | Speech-Language Pathologist | 123 E Columbus Street, Whiteville, NC 28472 | 2007-06-20 |
| 1568667418 | Ismael Montes | Respiratory Therapist, Registered | 1014 N. Jk Powell Boulevard, Whiteville, NC 28472 | 2007-06-20 |
| Find all providers in zip 28472 | ||||
| Taxonomy Code | 207RA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Addiction Medicine |
| An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447715941 | Ascend Health Pllc | Internal Medicine | 10831 Pineville Rd Ste 9, Pineville, NC 28134-8137 | 2019-02-08 |
| 1255751467 | Jamie Carter | Internal Medicine | 31 Falling Water Dr, Apt/suite, Durham, NC 27713-7729 | 2014-04-27 |
| 1588863161 | Mayisha White Dunham | Internal Medicine | 170 Whitmore Cove Ct, Clemmons, NC 27012-8883 | 2007-07-13 |
| 1790811982 | Jana Kaye Burson | Internal Medicine | 20726 Lagoona Dr, Cornelius, NC 28031-7114 | 2007-02-24 |
| 1174017511 | Med-x Consulting, PC | Internal Medicine | 10901 Ashland Mill Ct, Raleigh, NC 27617-7765 | 2018-06-19 |
| 1326404344 | Premiere Health and Wellness Medical Center | Internal Medicine | 1020 Rankin St, Suite 412, Wilmington, NC 28401-3700 | 2016-01-06 |
| 1508116278 | Oncall Mobile Medical and Wellness Pllc | Internal Medicine | 6428 W Wilkinson Blvd, Suite 241, Belmont, NC 28012-2858 | 2012-09-10 |
| 1629298872 | Bernard Gottschalk | Internal Medicine | 2520 Troy Dr, Wilmington, NC 28401-7661 | 2007-04-30 |
| 1427273952 | Sachin Patel | Internal Medicine | 3024 New Bern Ave, Raleigh, NC 27610-1247 | 2007-04-17 |
| 1295819993 | Veeraindar Goli | Internal Medicine | 2100 Erwin Rd, Duke Univ Med Center, Durham, NC 27710 | 2006-10-25 |
| Find all providers with the same taxonomy | ||||
| City | WHITEVILLE |
| Zip Code | 28472 |
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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.