DR. BLAINE CHARLES WHITE (NPI# 1265479430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265479430 |
| Entity Type | Individual |
| Full Name | DR. BLAINE CHARLES WHITE |
| Credential | M.D. |
| Practice Address |
6245 Deacon Hill Rd Howell MI 48843-7609 |
| Practice Telephone | 5175462127 |
| Mailing Telephone | 5175462127 |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2016-07-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
4301031551 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BC/BS OF MICHIGAN | BW031551 | 01 |
| MI | 101988685 | 05 | |
| MI | 104715860 | 05 | |
| MI | 104512750 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568718179 | Blaine G White | Physician Assistant | 621 3rd St S, Glasgow, MT 59230-2604 | 2012-08-01 |
| Street Address |
6245 DEACON HILL RD |
| City | HOWELL |
| State | MI |
| Zip Code | 48843-7609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770050775 | Kaylee Primeau | Behavioral Analyst | 3292 Beck Rd, Howell, MI 48843 | 2018-10-28 |
| 1750869988 | Leanna Lynn Lopez | Occupational Therapist | 4286 Mcgunn Rd, Howell, MI 48843 | 2018-07-31 |
| 1942719133 | Tracey Ann Ulmer | Specialist | 622 Grand River, Howell, MI 48843 | 2017-09-20 |
| 1649792292 | Livingston Psychological Services, Pllc | Psychologist | 204 W Grand River Ave Ste 260, Howell, MI 48843 | 2017-07-14 |
| 1558817288 | Amy Binns | Technician, Other | 5280 Whistler Pt, Howell, MI 48843 | 2016-09-01 |
| 1033571112 | Diversified Counseling and Consulting Services, Pllc | Social Worker | 1004 S. Michigan Ave., Suite 203, Howell, MI 48843 | 2016-03-28 |
| 1174998801 | Level Eleven Howell | Clinic/Center | 1030 W. Highland Rd, Howell, MI 48843 | 2015-12-07 |
| 1285021170 | Frances Vitale | Behavioral Analyst | 308 Tullamore St, Howell, MI 48843 | 2015-04-19 |
| 1487059671 | Michigan Transportation Services, LLC | Non-emergency Medical Transport (VAN) | 1800 Dorr Rd., Howell, MI 48843 | 2014-10-30 |
| 1720483027 | Assuredtrans Services, Inc. | Non-emergency Medical Transport (VAN) | 1800 Dorr Rd, Howell, MI 48843 | 2014-10-29 |
| Find all providers in zip 48843 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730303371 | Janet Ann Neglia | Emergency Medicine | 5 Roe Ln, Howell, NJ 07731-9067 | 2007-04-13 |
| 1821036799 | Carlin C Stockson | Emergency Medicine | 620 Byron Rd, Howell, MI 48843-1002 | 2006-06-03 |
| 1538106117 | Michael F Sugg | Emergency Medicine | 620 Byron Rd, Howell, MI 48843-1002 | 2006-06-01 |
| 1457321531 | James R. Fleming | Emergency Medicine | 620 Byron Rd, Howell, MI 48843-1002 | 2006-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770059529 | Zachary Kenneth Brown | Emergency Medicine | 906 S Crapo St, Mt Pleasant, MI 48858-3662 | 2018-10-19 |
| 1356778286 | Donald Smith Pllc | Emergency Medicine | 1905 N Hammond Lake Dr, Bloomfield Hills, MI 48302-0139 | 2013-10-10 |
| 1346486222 | Flushing Road Urgent Care PC | Emergency Medicine | 1301 Flushing Rd, Flint, MI 48504-4710 | 2008-12-26 |
| 1184897209 | Donnell Stephen Newman Jr. | Emergency Medicine | 1460 Lakepointe St, Grosse Pointe Park, MI 48230-1016 | 2008-04-09 |
| 1205849866 | Daryl D Wisdom | Emergency Medicine | 10015 Cascade Rd Se, Lowell, MI 49331-9529 | 2006-08-14 |
| 1134131683 | Rick L Holland | Emergency Medicine | 8333 Felch Ave, Zeeland, MI 49464 | 2006-08-13 |
| 1760493472 | Katherine J Pitus | Emergency Medicine | 118000 E Twelve Mile Rd, Er Department, Warren, MI 48093 | 2006-08-10 |
| 1952319881 | Robert Prodinger | Emergency Medicine | 9825 W Gull Lake Dr, Richland, MI 49083-9543 | 2006-08-04 |
| 1164436671 | James Barry Nolin | Emergency Medicine | 1805 Wild Dr, Richland, MI 49083-9361 | 2006-07-28 |
| 1518987072 | Trace Dotson | Emergency Medicine | 118000 E Twelve Mile Road, Er Department, Warren, MI 48093 | 2006-07-20 |
| 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.