COREY WHITE (NPI# 1154610814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154610814 |
| Entity Type | Individual |
| Full Name | COREY WHITE |
| Credential | DO, MBA |
| Practice Address |
525 Lilly Rd Ne Olympia WA 98506-5101 |
| Mailing Address |
Po Box 3360 Portland OR 97208-3360 |
| Practice Telephone | 3604138550 |
| Practice Fax Number | 3604138827 |
| Enumeration Date | 2011-04-04 |
| Last Update Date | 2019-01-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
OP60739312 | WA | Allopathic & Osteopathic Physicians |
| N | 2084A2900X |
Psychiatry & Neurology Specialization: Neurocritical Care |
OP60739312 | WA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508310814 | Corey White | Internal Medicine | 122 12th St, Princeton, WV 24740-2312 | 2016-08-04 |
| 1093144438 | Corey White | Nurse Anesthetist, Certified Registered | 415 S 28th Ave, Hattiesburg, MS 39401-7246 | 2013-11-06 |
| 1225396252 | Corey White | Physical Therapy Assistant | 1190 N State St, Pt Department, Jackson, MS 39202-2413 | 2012-04-27 |
| 1740380245 | Corey Michael White | Physical Therapist | 8080 Bluebonnet Blvd, Suite 110, Baton Rouge, LA 70810-7827 | 2006-09-24 |
| Street Address |
525 LILLY RD NE |
| City | OLYMPIA |
| State | WA |
| Zip Code | 98506-5101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861493884 | Suzanne Ellen Woodsum-reed | Social Worker | 525 Lilly Rd Ne, Olympia, WA 98506-5101 | 2005-08-02 |
| 1730702432 | Chanel Wood | Student in an Organized Health Care Education/Training Program | 525 Lilly Rd Ne, Suite 204, Olympia, WA 98506 | 2020-05-28 |
| 1982227062 | Jairo Enrigue Mendoza Briceno | Student in an Organized Health Care Education/Training Program | 525 Lilly Rd Ne, Suite 204, Olympia, WA 98506-5101 | 2020-05-22 |
| 1598384901 | Junun Bae | Student in an Organized Health Care Education/Training Program | 525 Lilly Rd Ne, Olympia, WA 98506-5101 | 2020-04-15 |
| 1205484813 | Neighborcare Health | Clinic/Center | 525 Lilly Rd Ne, Olympia, WA 98506-5101 | 2019-08-27 |
| 1972158210 | Erik Gilbert Gunderson | Pharmacist | 525 Lilly Rd Ne, Olympia, WA 98506-5101 | 2019-08-05 |
| 1215595509 | Hieu Thi Minh Duong | Family Medicine | 525 Lilly Rd Ne, Olympia, WA 98506-5101 | 2019-05-31 |
| 1255998324 | Fang-yu Lee | Family Medicine | 525 Lilly Rd Ne, Olympia, WA 98506-5101 | 2019-05-23 |
| 1588221642 | Jennifer Jean Goodrich | Family Medicine | 525 Lilly Rd Ne, Olympia, WA 98506-5101 | 2019-05-23 |
| 1831756998 | Ryan Edel Kuhar | Family Medicine | 525 Lilly Rd Ne, Olympia, WA 98506-5101 | 2019-05-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477185460 | Chloe Harper | Technician, Other | 3443 Lilly Rd Se, Ste B, Olympia, WA 98506 | 2020-02-07 |
| 1912543539 | Jessica Marie Radakovich | Licensed Practical Nurse | 3426 Mary Elder Rd, Olympia, WA 98506 | 2019-11-19 |
| 1669014973 | Arlene Josephine Adams | Registered Nurse | 413 Lily Rd Ne, Olympia, WA 98506 | 2019-10-09 |
| 1861999120 | Debra Delores Barker | Licensed Practical Nurse | 3710 South Bay Rd Ne, Olympia, WA 98506 | 2018-04-12 |
| 1801304431 | Michelle Warner | Nurse Practitioner | 205 Lilly Rd Ne Ste A1, Olympia, WA 98506 | 2018-01-17 |
| 1396258364 | Institute for Family Development | Community/Behavioral Health | 204 Quince St. Ne, Suite 200, Olympia, WA 98506 | 2017-11-13 |
| 1083137715 | Cameron Kunkel | Specialist/Technologist | 2512 20th Ave Ne, Olympia, WA 98506 | 2017-07-25 |
| 1184144768 | Trevor Shane Kwan | Family Medicine | 525 Lilly Road Ne, Olympia, WA 98506 | 2017-06-23 |
| 1073043212 | Michael H Harburg | Behavior Technician | 3857 Martin Way Ne, Olympia, WA 98506 | 2017-06-19 |
| 1780114371 | Priscilla Kangyang Jadu | Counselor | 3857 Martin Way E., Olympia, WA 98506 | 2017-06-15 |
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| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124367776 | Tilahun Haile Abraha | Psychiatry & Neurology | 317 Nine Bark St Nw, Olympia, WA 98502-8709 | 2013-02-01 |
| 1588850325 | Youngbin Choi | Psychiatry & Neurology | 525 Lilly Rd Ne Ste 210, Olympia, WA 98506-5101 | 2007-09-14 |
| 1841314184 | Gary Franklin | Psychiatry & Neurology | 525 Lilly Rd Ne # 210, Olympia, WA 98506-5101 | 2007-03-19 |
| 1457373391 | Kevin F Connolly | Psychiatry & Neurology | 404-b Black Hills Ln Sw, Olympia, WA 98502-8148 | 2006-07-23 |
| 1306208202 | Christine Rene Wells | Psychiatry & Neurology | 2540 Wedgewood Ct Se, Olympia, WA 98501-3855 | 2016-03-22 |
| 1386841849 | Chike M. Linton | Psychiatry & Neurology | 406-a Black Hills Ln Sw, Olympia, WA 98502 | 2007-06-28 |
| 1336160373 | Maria Irina Ramneantu | Psychiatry & Neurology | 525 Lilly Rd Ne, Suite 210, Olympia, WA 98506-5101 | 2006-07-23 |
| 1801818745 | Northwest Neuromuscular Associates PC | Psychiatry & Neurology | 404-b Black Hills Ln Sw, Olympia, WA 98502-8148 | 2006-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720608235 | Alexander John Arnold | Psychiatry & Neurology | 1959 Ne Pacific St, Rr650, Seattle, WA 98195 | 2020-04-24 |
| 1760024632 | Ethan Budd Russo | Psychiatry & Neurology | 20402 81st Avenue Sw, Vashon, WA 98070-6253 | 2019-10-12 |
| 1730683053 | Selkirk Neurology Pllc | Psychiatry & Neurology | 610 S Sherman St Ste 201, Spokane, WA 99202-1342 | 2018-03-21 |
| 1881116341 | William Russell Schmidt | Psychiatry & Neurology | 12207 243rd Pl Ne, Redmond, WA 98053-5685 | 2017-07-16 |
| 1568872281 | Marie-sarah Gagne Brosseau | Psychiatry & Neurology | 1536 N 115th Street, Suite 130, Seattle, WA 98133 | 2014-05-02 |
| 1972920049 | Anusha Mannava | Psychiatry & Neurology | 1100 Goethals Dr Ste D, Richland, WA 99352 | 2014-03-26 |
| 1275954646 | George Delyanis | Psychiatry & Neurology | 1220 Ventura Dr, Tacoma, WA 98465-1240 | 2014-01-02 |
| 1326381500 | Jill Kaspar Baird | Psychiatry & Neurology | 2121 Ne 139th St Ste 205, Vancouver, WA 98686-2316 | 2013-04-05 |
| 1124361993 | Malveeka Sharma | Psychiatry & Neurology | 325 9th Ave Rm 3ct70, Seattle, WA 98104 | 2013-03-31 |
| 1962740274 | Legacy Neuromonitoring, LLC | Psychiatry & Neurology | 1818 W Francis Ave, Pmb #299, Spokane, WA 99205-6834 | 2013-01-21 |
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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.