PETER R WHITE (NPI# 1215984661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215984661 |
| Entity Type | Individual |
| Full Name | PETER R WHITE |
| Credential | M.D. |
| Practice Address |
801 Pro Dr Ste D1 Celina OH 45822-3307 |
| Mailing Address |
200 Saint Clair Ave Jtdm Family Practices LLC Saint Marys OH 45885-2400 |
| Practice Telephone | 4193943387 |
| Practice Fax Number | 4195868509 |
| Mailing Telephone | 4193943387 |
| Mailing Fax Number | 4195868509 |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2014-05-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 35-072242 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2016204 | 05 | |
| OH | GROUP NPI- GRAND LAKE FAMILY & PEDIATRICS | 1942630348 | 01 |
| OH | MEDICARE INDIVIDUAL PTAN | H280560 | 01 |
| OH | MEDICARE GROUP PTAN | 9934723 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295813137 | Peter Grant White | Acupuncturist | 113 5th Ave Se, Olympia, WA 98501-1121 | 2006-11-01 |
| 1659313823 | Peter White Jr. | Internal Medicine | 751 N Rutledge St Rm 2100, Springfield, IL 62702-4968 | 2006-06-12 |
| 1972133403 | Peter John White | Acupuncturist | 4047 N 40th Pl, Phoenix, AZ 85018-5206 | 2020-01-23 |
| 1639639818 | Peter White | Student in an Organized Health Care Education/Training Program | 888 Old Country Rd, Plainview, NY 11803-4914 | 2019-03-22 |
| 1457858219 | Peter White | Student in an Organized Health Care Education/Training Program | 701 Park Ave, Minneapolis, MN 55415-1623 | 2018-04-09 |
| 1508377706 | Peter Edward White | Pharmacist | 135 West Rd, Ellington, CT 06029-5725 | 2017-10-16 |
| 1558818591 | Peter Francis White | Physician Assistant | 1040 Flynn Rd, Camarillo, CA 93012-5092 | 2016-09-07 |
| 1417341710 | Peter Allan White | Student in an Organized Health Care Education/Training Program | 2800 N Vancouver Ave, Suite 230, Portland, OR 97227-1630 | 2015-03-25 |
| 1619264165 | Peter White | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1101 Madison St Ste 900, Seattle, WA 98104-1347 | 2011-07-06 |
| 1952622243 | Peter Holland White | Orthopaedic Surgery | 1400 Johnston Willis Dr, Ste A, North Chesterfield, VA 23235-4765 | 2010-06-21 |
| Street Address |
801 PRO DR STE D1 |
| City | CELINA |
| State | OH |
| Zip Code | 45822-3307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891793618 | Philip R. Masser | Family Medicine | 801 Pro Dr, Suite A, Celina, OH 45822-3307 | 2005-07-14 |
| 1578057485 | Benjamin Michael Werling | Registered Nurse | 801 Pro Dr, Celina, OH 45822-3307 | 2018-06-15 |
| 1225536881 | Sarah Marie Mcdowell | Nurse Practitioner | 801 Pro Dr, Celina, OH 45822-3307 | 2018-01-30 |
| 1134573702 | Bio-medical Applications of Ohio, Inc. | Clinic/Center | 801 Pro Dr, Ste B, Celina, OH 45822-3307 | 2016-04-20 |
| 1689005761 | Jtdm Family Practice LLC | Physician Assistant | 801 Pro Dr, Celina, OH 45822-3307 | 2013-11-27 |
| 1942630348 | Jtdm Family Practice LLC | Pediatrics | 801 Pro Dr, Celina, OH 45822-3307 | 2013-11-21 |
| 1972890192 | Joint Township District Memorial Hospital | Surgery | 801 Pro Dr, Celina, OH 45822-1397 | 2011-07-08 |
| 1922393842 | Leanne M Kline | Family Medicine | 801 Pro Dr, Grand Lake Family Practice & Pediatrics, Celina, OH 45822-3307 | 2011-06-20 |
| 1427207604 | Kidney Services of West Central Ohio Ltd | Clinic/Center | 801 Pro Dr, Celina, OH 45822-3307 | 2008-09-12 |
| 1659543403 | James Anthony Reichert | Surgery | 801 Pro Dr, Ste D2, Celina, OH 45822-3307 | 2008-04-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467974014 | Emily Marie Metz | Speech-Language Pathologist | 715 E Wayne St, Celina, OH 45822 | 2017-07-14 |
| 1184161069 | Lyndie Brown | Speech-Language Pathologist | 903 East Wayne Street, Celina, OH 45822 | 2017-01-30 |
| 1225582752 | Momentum Counseling and Consultation, LLC | Social Worker | 427 E Market St, Celina, OH 45822 | 2016-08-13 |
| 1821497546 | Mindy Muhlenkamp | Occupational Therapist | 441 East Market Street, Celina, OH 45822 | 2014-08-19 |
| 1609136951 | Aaron D. Kuhn | Marriage & Family Therapist | 316 W. Market St, Celina, OH 45822 | 2012-05-21 |
| 1740436252 | Luis L. Perez | Family Medicine | 801 Pro Dr Ste D1, Celina, OH 45822 | 2008-08-15 |
| 1356538664 | Assisted Living Concepts Inc | Assisted Living Facility | 1506 Meadowview Drive, Celena, OH 45822 | 2007-10-01 |
| 1336369800 | Mercer County Board of Mrdd | Case Management | 4980 Mud Pike, Celina, OH 45822 | 2007-04-26 |
| 1720101371 | Mercer Residential Services Inc. | Supports Brokerage | 420 Sugar St, Celina, OH 45822 | 2007-04-09 |
| 1831236264 | Kristina M Goffena | Massage Therapist | 6673 Coldwater Beach Rd, Celina, OH 45822 | 2007-02-01 |
| Find all providers in zip 45822 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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| 1699306126 | Integrated Medicine of Ohio LLC | General Practice | 6200 Rockside Woods Blvd N Ste 100, Independence, OH 44131-2392 | 2020-02-03 |
| 1437796042 | Integrated Medicine of Ohio LLC | General Practice | 2780 S Arlington Rd Ste 202, Coventry Township, OH 44312-4707 | 2019-12-02 |
| 1265078497 | Jaime L Go Md Inc | General Practice | 1200 Resource Dr, Brooklyn Hts, OH 44131-1849 | 2019-11-22 |
| 1558902809 | Wecare Health Clinic Group, LLC | General Practice | 8918 Reading Rd, Cincinnati, OH 45215-3228 | 2019-10-07 |
| 1063062354 | Independent Physical Medicine LLC | General Practice | 3469 W Elm St, Lima, OH 45807-2226 | 2019-09-18 |
| 1861041535 | Allied Medical Integration, LLC | General Practice | 7067 Tiffany Blvd Ste 280, Poland, OH 44514-1803 | 2019-09-05 |
| Find all providers with the same taxonomy | ||||
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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.