MRS. MATTIE WHITE (NPI# 1316912892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316912892 |
| Entity Type | Individual |
| Full Name | MRS. MATTIE WHITE |
| Credential | MD |
| Practice Address |
3197 Portis Ave Saint Louis MO 63116-2023 |
| Practice Telephone | 6187133847 |
| Enumeration Date | 2006-02-20 |
| Last Update Date | 2017-10-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 2008014947 | MO | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 036103546 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 1316912892 | 05 | |
| IL | MEDICARE GROUP | 659580 | 01 |
| IL | BCBS GROUP NUMBER | 10007459 | 01 |
| IL | RAILROAD MEDICARE | P00189155 | 01 |
| IL | 036103546 | 05 | |
| IL | HEALTHLINK PROV NUMBER | 460661 | 01 |
| IL | UMWA PIN | K04489 | 01 |
| IL | RAILROAD GROUP NUMBER | CB3700 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962022210 | Mattie White | Student in an Organized Health Care Education/Training Program | 9500 Euclid Ave # Na-23, Cleveland, OH 44195-0002 | 2020-04-16 |
| 1053758912 | Mattie Michelle Haslett White | Dentist | 181 Emmett St W, Battle Creek, MI 49037-2963 | 2013-05-31 |
| 1144363458 | Mattie Davis White | Psychiatry & Neurology | 35 K St Ne, Washington, DC 20002-4216 | 2007-02-15 |
| Street Address |
3197 PORTIS AVE |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63116-2023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245713395 | Trinity Cares LLC | In Home Supportive Care | 4343 Osceola, St Louis, MO 63116 | 2018-09-13 |
| 1437689213 | Veronica Leigh Delgado | Social Worker | 3430 Grace Ave, St. Louis, MO 63116 | 2017-06-14 |
| 1366993719 | Bryan Allgeier | Dentist | 3941 Bowen St, Saint Louis, MO 63116 | 2016-10-20 |
| 1639426620 | Candice Daily | Home Health | 6824 Salzburger Ave, Saint Louis, MO 63116 | 2012-08-08 |
| 1104001304 | America's Best Contacts & Eyeglasses | Technician/Technologist | 3573 Bamberger Ave., St. Louis, MO 63116 | 2008-01-07 |
| 1053533018 | Ryan Wesley Riney | Pharmacist | 3865 Gravois, St. Louis, MO 63116 | 2007-05-02 |
| 1508983040 | Marc Robert Boivin | Dentist | 4181 Loughborough Ave, St Louis, MO 63116 | 2007-03-22 |
| 1750454484 | Hector Ocampo Pineda | Internal Medicine | 4460 Chippewa St, St Louis, MO 63116 | 2006-11-17 |
| 1003926130 | Ann Heath Pietroburgo | Occupational Therapist | 4600 Chippewa, Ste F, St Louis, MO 63116 | 2006-08-30 |
| 1891216776 | Sheila Edwards | Licensed Practical Nurse | 4066 Dunnica Ave, Saint Louis, MO 63116 | 2017-06-30 |
| Find all providers in zip 63116 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356986541 | Pain Relief Center of St Louis LLC | Family Medicine | 1115 Olivette Executive Pkwy, Saint Louis, MO 63132-3259 | 2019-11-12 |
| 1720635329 | Mercy Clinic East Communities | Family Medicine | 10004 Kennerly Rd Ste 395b, Saint Louis, MO 63128-2190 | 2019-08-20 |
| 1063066777 | Isabella Citizens for Health, Inc. | Family Medicine | 312 Union St, Saint Louis, MI 48880-1830 | 2019-07-31 |
| 1043864010 | Isabella Citizens for Health, Inc. | Family Medicine | 113 E Saginaw St, Saint Louis, MI 48880-1755 | 2019-07-29 |
| 1558896969 | Shivani Sockanathan | Family Medicine | 969 N Mason Rd Ste 145a, Saint Louis, MO 63141-6282 | 2017-04-23 |
| 1598299646 | Kharole Compere | Family Medicine | 175 N Oaks Plz, Saint Louis, MO 63121-2925 | 2017-04-16 |
| 1396109880 | Ritesh Gandhi | Family Medicine | 7345 Watson Rd Ste 203, Saint Louis, MO 63119 | 2016-04-11 |
| 1144608035 | Daniel Urcuyo | Family Medicine | 4625 Lindell Blvd Ste 338, Saint Louis, MO 63108 | 2015-05-11 |
| 1376958728 | Jamil Neme | Family Medicine | 3660 Vista Ave Ste 103, Saint Louis, MO 63110-2540 | 2014-06-24 |
| 1144633819 | Perini Shah | Family Medicine | 12700 Southfork Rd Ste 215, Saint Louis, MO 63128-3276 | 2014-06-10 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63116 |
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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.