KEVIN M WHITE (NPI# 1285634162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285634162 |
| Entity Type | Individual |
| Full Name | KEVIN M WHITE |
| Credential | DO |
| Practice Address |
4695 Shoreline Dr Spring Park MN 55384-9715 |
| Practice Telephone | 9524427895 |
| Practice Fax Number | 9524427894 |
| Mailing Telephone | 9524427895 |
| Mailing Fax Number | 9524427894 |
| Enumeration Date | 2005-07-21 |
| Last Update Date | 2010-03-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 40200 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 677015100 | 05 | |
| MN | DO LICENSE | 40200 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851823413 | Kevin White | Social Worker | 370 E 200 S, Nephi, UT 84648-1922 | 2017-04-01 |
| 1679834899 | Kevin White | Dentist | 120 Meridian Way Ste 2, Richmond, KY 40475-2881 | 2012-06-05 |
| 1447329719 | Kevin Patrick White | Dermatology | 3303 Sw Bond Ave # Ch5d, Portland, OR 97239-4501 | 2006-11-08 |
| 1952495921 | Kevin Gary White | Pediatrics | 2601 E Main St Ste 200, Ventura, CA 93003-2893 | 2006-10-03 |
| 1326130048 | Kevin M White | Social Worker | 25 Lincoln Plz, Branchland, WV 25506-9786 | 2006-09-29 |
| 1336251800 | Kevin C. White | Dentist | 1501 Spring Hill Ave, Mobile, AL 36604-3206 | 2006-08-31 |
| 1639137490 | Kevin M. White | Psychiatry & Neurology | 3000 Colby St Ste 202, Berkeley, CA 94705-2058 | 2006-05-02 |
| 1598364903 | Kevin White | Physician Assistant | 130 W Ravine Rd, Kingsport, TN 37660-3837 | 2020-10-19 |
| 1316552623 | Kevin Karl White | Case Manager/Care Coordinator | 1050 Niagara St, Buffalo, NY 14213-2001 | 2020-09-14 |
| 1598398380 | Kevin Kyle White | Counselor | 6000 S 1075 E, South Ogden, UT 84405-4945 | 2020-02-19 |
| Street Address |
4695 SHORELINE DR |
| City | SPRING PARK |
| State | MN |
| Zip Code | 55384-9715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912906017 | Mary Moe Trites | Family Medicine | 4695 Shoreline Dr, Spring Park, MN 55384-9715 | 2005-07-20 |
| 1437533858 | Heather Marie Wilson | Family Medicine | 4695 Shoreline Dr, Spring Park, MN 55384-9715 | 2015-07-15 |
| 1285808428 | Urology Associates, Ltd. | Urology | 4695 Shoreline Dr, Spring Park, MN 55384-9715 | 2008-04-18 |
| 1306041066 | Ridgeview Clinics | Physician Assistant | 4695 Shoreline Dr, Spring Park, MN 55384-9715 | 2007-06-20 |
| 1083743645 | James D Lehmann | Internal Medicine | 4695 Shoreline Dr, Spring Park, MN 55384-9715 | 2007-03-02 |
| 1740332253 | Ridgeview Clinics | Family Medicine | 4695 Shoreline Dr, Spring Park, MN 55384-9715 | 2007-01-17 |
| 1659389310 | Ridgeview Clinics | Family Medicine | 4695 Shoreline Dr, Spring Park, MN 55384-9715 | 2006-08-04 |
| 1255351342 | Steven Jay Nerheim | Family Medicine | 4695 Shoreline Dr, Spring Park, MN 55384-9715 | 2006-07-20 |
| 1902855539 | Eric A Nagle | Internal Medicine | 4695 Shoreline Dr, Spring Park, MN 55384-9715 | 2006-05-10 |
| 1033195813 | Jennifer H Rysso | Internal Medicine | 4695 Shoreline Dr, Spring Park, MN 55384-9715 | 2005-12-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164770756 | Watertown Pharmacy LLC | Pharmacy | 4689 Shoreline Drive, Suite 100, Spring Park, MN 55384 | 2012-08-29 |
| 1629451471 | Dantel Weaver | Dentist | 4100 Shoreline Dr, Spring Park, MN 55384-4508 | 2015-06-29 |
| 1629451000 | Aaron Tsay | Dentist | 4100 Shoreline Dr, Suite 4, Spring Park, MN 55384-4508 | 2015-07-03 |
| 1831677103 | Mitchell Lee Olson | Counselor | 4154 Shoreline Dr Ste 202, Spring Park, MN 55384-5606 | 2018-07-30 |
| 1235757600 | Mindfully Healing Inc. | Counselor | 4154 Shoreline Dr Ste 202, Spring Park, MN 55384-5606 | 2020-07-11 |
| 1679997480 | Phs/lake Minnetonka, LLC | Assisted Living Facility | 4527 Shoreline Dr, Spring Park, MN 55384-8706 | 2014-02-13 |
| 1184737926 | Phs Lake Minnetonka LLC | Skilled Nursing Facility | 4527 Shoreline Drive, Spring Park, MN 55384-8706 | 2006-08-16 |
| 1801247895 | Amanda Blom | Occupational Therapist | 4527 Shoreline Dr, Spring Park, MN 55384-8706 | 2016-06-30 |
| 1629676424 | Archy Olson | Behavior Technician | 2 Shoreline Pl, Spring Park, MN 55384-9644 | 2020-10-14 |
| 1750930525 | Kyle R Danielson, Dds, Pllc | Clinic/Center | 4165 Shoreline Dr Ste 30, Spring Park, MN 55384-9653 | 2019-09-05 |
| Find all providers in zip 55384 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083743645 | James D Lehmann | Internal Medicine | 4695 Shoreline Dr, Spring Park, MN 55384-9715 | 2007-03-02 |
| 1902855539 | Eric A Nagle | Internal Medicine | 4695 Shoreline Dr, Spring Park, MN 55384-9715 | 2006-05-10 |
| 1033195813 | Jennifer H Rysso | Internal Medicine | 4695 Shoreline Dr, Spring Park, MN 55384-9715 | 2005-12-22 |
| 1104826064 | Thomas G Stocks | Internal Medicine | 4695 Shoreline Dr, Spring Park, MN 55384-9715 | 2005-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295359495 | Julie Ann Schroeder | Internal Medicine | 14370 Guthrie Ave, Apple Valley, MN 55124-6729 | 2020-06-03 |
| 1023644069 | Jeffrey Howard Mandel | Internal Medicine | 6204 Westridge Blvd, Edina, MN 55436-2569 | 2020-03-22 |
| 1861032054 | David Gregg | Internal Medicine | 5305 Humboldt Ave S, Minneapolis, MN 55419 | 2020-01-15 |
| 1467969907 | Minneapolis Health Clinic Pllc | Internal Medicine | 4825 Olson Memorial Hwy., Suite 101, Golden Valley, MN 55422 | 2018-01-05 |
| 1316454077 | Independent Medical Clinic Pa | Internal Medicine | 2639 Nicollet Ave Ste 120, Minneapolis, MN 55408-1629 | 2018-01-03 |
| 1669905618 | Joseph Douglas Steffens | Internal Medicine | 701 Park Avenue, Internal Medicine Residency Program, Hennepin County Medical Center, Minneapolis, MN 55415 | 2017-04-06 |
| 1841650306 | Megan Mcgovern | Internal Medicine | 701 Park Ave # O1.340, Minneapolis, MN 55415-1623 | 2016-02-26 |
| 1255717617 | Mary S. Salter, Md Psc | Internal Medicine | 514 Beltrami Ave Nw Suite 102, Bemidji, MN 56601 | 2015-08-07 |
| 1700266079 | Jacob Wagner | Internal Medicine | D638 Mayo Building, 420 Delaware St Se, Minneapolis, MN 55455 | 2015-06-02 |
| 1659750503 | Melissa Ann Plesac | Internal Medicine | 500 Harvard St Se # 741, Minneapolis, MN 55455 | 2015-05-26 |
| Find all providers with the same taxonomy | ||||
| City | SPRING PARK |
| Zip Code | 55384 |
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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.