DR. MICHAEL WHITE (NPI# 1164085494) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164085494 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL WHITE |
| Credential | MD |
| Practice Address |
2160 S 1st Ave Maywood IL 60153-3328 |
| Practice Telephone | 8885847888 |
| Enumeration Date | 2019-04-22 |
| Last Update Date | 2020-06-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 125.075875 | IL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 407 N Merrill St, Park Ridge, IL 600683401 | 8472840882 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932690492 | Michael White | Social Worker | 1009 Post Rd, Warwick, RI 02888-3362 | 2018-05-21 |
| 1598278962 | Michael White | Physical Therapist | 406r Washington St, Holliston, MA 01746-1342 | 2017-11-08 |
| 1245740471 | Michael White | Physical Therapist | 800 Goodlette Rd N Ste 140, Naples, FL 34102-5402 | 2017-10-02 |
| 1952835803 | Michael White | Specialist/Technologist | 2417 Stroup Rd, Atwater, OH 44201-9100 | 2017-04-18 |
| 1215383104 | Michael White | Technician, Health Information | 301 Valley Mall Way, 110, Mount Vernon, WA 98273-5462 | 2016-05-10 |
| 1093101537 | Michael White | Home Health | 15414 Hubbell St, Detroit, MI 48227-2968 | 2015-04-11 |
| 1518379650 | Michael White Jr. | Registered Nurse | 16134 Collinson Ave, Eastpointe, MI 48021-3651 | 2014-05-23 |
| 1871936823 | Michael Hugh White | Pediatrics | 5461 Meridian Mark Road Ne, Suite 400, Atlanta, GA 30342 | 2013-04-09 |
| 1851644496 | Michael Yarbrough White Jr. | Behavioral Analyst | 2068 N Nellis Blvd Apt 158, Las Vegas, NV 89115-5562 | 2012-10-19 |
| 1174875165 | Michael Gene White | Pharmacist | 1615 West Main St, Albert Lea, MN 56007 | 2012-10-15 |
| Street Address |
2160 S 1ST AVE |
| City | MAYWOOD |
| State | IL |
| Zip Code | 60153-3328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174525489 | Michael Jm Raffin | Audiologist | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2005-06-01 |
| 1366049900 | Kenneth Bernard Jordan | Psychiatry & Neurology | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2020-10-06 |
| 1124634712 | Abhilasha Nitin Borkar | Pathology | 2160 S 1st Ave, Maywood, IL 60153 | 2020-09-18 |
| 1306450325 | Linda Ippolito | Nurse Practitioner | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2020-09-08 |
| 1194339135 | Meghan Henry | Nurse Practitioner | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2020-09-08 |
| 1194339911 | Victoria Leah Drozd | Student in an Organized Health Care Education/Training Program | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2020-08-31 |
| 1396357588 | Madison Schaefer | Nurse Practitioner | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2020-08-19 |
| 1134731375 | Otanthia S Williams-brady | Nurse Practitioner | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2020-08-19 |
| 1205454287 | Janet Nickels | Audiologist | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2020-07-07 |
| 1417574054 | Kathryn Clemans | Nurse Anesthetist, Certified Registered | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2020-06-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053933077 | Judie Noemie Hoilat | Internal Medicine | 2160 S 1st Avenue, Maywood, IL 60153 | 2020-05-13 |
| 1457972457 | Yuchen Zheng | Student in an Organized Health Care Education/Training Program | Department of Neurology, Loyola University Medical Cent, 2160 S. First Ave, Maywood, IL 60153 | 2020-04-30 |
| 1437779519 | Amna Amad Siddiqui | Student in an Organized Health Care Education/Training Program | 2160 S. First Avenue, Loyola University Medical Center, Maywood, IL 60153 | 2020-04-20 |
| 1982232211 | Brian Kurtz | Student in an Organized Health Care Education/Training Program | 2160 S First Ave, Bulding 105-suite 2840a, Maywood, IL 60153 | 2020-03-31 |
| 1902434947 | Saadiya Jabbar | Psychiatry & Neurology | Loyola University Medical Center, Building 105, Suite 1940, Maywood, IL 60153 | 2020-03-27 |
| 1558919472 | Linda Sue Moton | Technician | 10 South 15 Apt. 1, Maywood, IL 60153 | 2019-09-04 |
| 1760047518 | Braden Robert Dasovic | Student in an Organized Health Care Education/Training Program | 2160 S. First Avenue Building 105/room 2700, Department, Loyola Medical Center, Maywood, IL 60153 | 2019-05-07 |
| 1134680713 | Madeline Shaoyun Tiee | Orthopaedic Surgery | Loyola University Medical Center, 2160 S 1st Ave, Maywood, IL 60153 | 2019-03-27 |
| 1538629746 | Michael Murphy | Orthopaedic Surgery | 2160 S 1st Ave., Maguire Center, Dept of Ortho Surg, Maywood, IL 60153 | 2019-03-22 |
| 1053871681 | Michael V Padua | Psychiatry & Neurology | 2160 S 1st Ave Bldg, Maywood, IL 60153 | 2019-03-20 |
| Find all providers in zip 60153 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124372347 | Priya Bhakhri Tandon | Pediatrics | 4943 Slauson Ave, Maywood, CA 90270-3020 | 2012-11-09 |
| 1164504965 | Illur Sathy | Pediatrics | 318 Madison St, Maywood, IL 60153-2151 | 2006-10-20 |
| 1861587073 | Tao Trung Nguyen M.d., Inc | Pediatrics | 6043 Atlantic Blvd., Maywood, CA 90270-3118 | 2006-10-04 |
| 1689693749 | Tao T Nguyen | Pediatrics | 6043 Atlantic Blvd, Maywood, CA 90270-3118 | 2006-07-19 |
| 1043849482 | Katelyn Margaret Campbell | Pediatrics | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2020-04-07 |
| 1790314896 | Margaret Lynn Caldwell | Pediatrics | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2020-04-02 |
| 1245868090 | Matthew Russell | Pediatrics | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2020-03-28 |
| 1447888490 | Crystal Nguyen | Pediatrics | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2020-03-27 |
| 1265090237 | Elizabeth Dorora Krupa | Pediatrics | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2019-06-04 |
| 1528520442 | Jenna Berndt | Pediatrics | Loyola University Medical Center, 2160 S. First Ave. Maguire 3rd Floor, Maywood, IL 60153 | 2019-04-01 |
| Find all providers in MAYWOOD | ||||
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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.