MR. GREGORY ALAN WHITE (NPI# 1326013012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1326013012 |
Entity Type | Individual |
Full Name | MR. GREGORY ALAN WHITE |
Credential | ATC |
Practice Address |
11 Industrial Park Rd Niantic CT 06357-1210 |
Mailing Address |
82 New Park Ave North Franklin CT 06254-1807 |
Practice Telephone | 8608897345 |
Mailing Telephone | 8608897345 |
Enumeration Date | 2006-02-17 |
Last Update Date | 2020-09-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
N | 363AM0700X |
Physician Assistant Specialization: Medical |
CT | Physician Assistants & Advanced Practice Nursing Providers | |
Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
CT | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477192979 | Gregory David White | Student in an Organized Health Care Education/Training Program | 7965 Los Arboles Pl, Riverside, CA 92504-3530 | 2019-12-31 |
1346585551 | Gregory White | Physical Therapy Assistant | 920 Clairmont Ave, Decatur, GA 30030-1201 | 2012-11-29 |
1811142409 | Gregory E. White | Internal Medicine | 75 Steinmetz Dr, Manchester, NH 03104-1830 | 2008-11-24 |
1558406900 | Gregory W. White | Social Worker | 1370 S State St, San Jacinto, CA 92583-4933 | 2007-02-21 |
1821010273 | Gregory White | Psychologist | 2143 Airpark Dr Ste 3, Redding, CA 96001-2433 | 2006-07-24 |
1942241963 | Gregory B White | Anesthesiology | 1300 S Burkhardt Rd, Evansville, IN 47715-6006 | 2006-06-09 |
1639136740 | Gregory Richard White | Dentist | 10851 Rhode Island Ave S, Bloomington, MN 55438-2393 | 2006-05-01 |
1306818802 | Gregory Seaver White | Specialist/Technologist | 950 Main St, Clark University Athletic Department, Worcester, MA 01610-1400 | 2006-02-07 |
1598745390 | Gregory R White | Emergency Medicine | 6926 Brier Creek Ct, Bradenton, FL 34202-4211 | 2006-01-18 |
1932180486 | Gregory Joseph White | Otolaryngology | 535 Cedar Cross Road, Dubuque, IA 52003-7704 | 2005-11-10 |
Street Address |
11 INDUSTRIAL PARK RD |
City | NIANTIC |
State | CT |
Zip Code | 06357-1210 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003372103 | Ashley James | Specialist/Technologist | 11 Industrial Park Rd, Niantic, CT 06357-0635 | 2019-02-13 |
1598111478 | Norwich Orthopedic Group, PC | Orthopaedic Surgery | 11 Industrial Park Rd, Niantic, CT 06357-1904 | 2016-05-10 |
1619323706 | Norwich Orthopedic Group, PC | Non-Pharmacy Dispensing Site | 11 Industrial Park Rd, Niantic, CT 06357-1904 | 2016-05-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093094401 | Pamela Dhillon | Nurse Practitioner | 215 West Main St, Niantic, CT 06357 | 2011-08-16 |
1841454485 | Richard Frederick Jones IIi | Obstetrics & Gynecology | 224 Old Balck Point Rd, Niantic, CT 06357 | 2008-07-14 |
1437224771 | Margaret C Barili | Registered Nurse | 369 Main Street, Niantic, CT 06357 | 2006-11-21 |
1720163942 | Carole C Olson | Psychologist | 4 N. Pine Street, Ninantic, CT 06357 | 2006-10-26 |
1427151513 | Melvin Harold Engel | Family Medicine | 50 Green Cliff Drive, Niantic, CT 06357 | 2006-09-06 |
1457304420 | Michele Nadine Litwin | Nurse Practitioner | 30 W Main Street, Niantic, CT 06357 | 2006-05-18 |
1487133906 | Ryne Mcmullen | Physical Therapist | 11 Freedom Way Unit B2, Niantic, CT 06357 | 2018-08-07 |
1558720854 | Bodhi Naturopathic LLC | Naturopath | 17 Hope Street, Nianic, CT 06357 | 2016-02-15 |
1477980480 | Heather Michelle Rynkowski | Physician Assistant | 365 Montauk Ave, Office # 3.525, New London, CT 06357 | 2013-10-04 |
1245662592 | Erica L Lussier | Nurse Practitioner | 248 Flanders Rd, Niantic, CT 06357 | 2013-08-08 |
Find all providers in zip 06357 |
Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053357046 | Loreto Verde | Physician Assistant | 11 Arthur Dr, Apt 1 J, Niantic, CT 06357-1234 | 2006-06-20 |
1609301647 | Erik Sommers | Physician Assistant | 11 Industrial Park Road, Niantic, CT 06357-1807 | 2017-04-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831798362 | Brandon H Kusako | Physician Assistant | 34 Maple St Dept Of, Norwalk, CT 06850-3815 | 2020-10-26 |
1073137097 | Page Renee Burns | Physician Assistant | 40 Bertrose Ave, Milford, CT 06460-5906 | 2020-06-05 |
1043848575 | Caitlin Ann Kimberly | Physician Assistant | 40 Avalon Dr Unit 6331, Milford, CT 06460-8956 | 2020-03-30 |
1699307199 | Lindy Carelli | Physician Assistant | 330 Washington St Ste 410, Norwich, CT 06360-2700 | 2020-02-12 |
1174166722 | Jacqueline Clarizio | Physician Assistant | 5520 Park Ave Ste 300, Trumbull, CT 06611-3465 | 2019-10-25 |
1699260109 | Kristen Jean Mosher | Physician Assistant | 31 Cloverdale Ave, Shelton, CT 06484-2538 | 2018-06-27 |
1548754310 | Collin Dimler | Physician Assistant | 85 Seymour St Ste 1003, Hartford, CT 06106 | 2018-06-15 |
1962920561 | Eugenie Cho | Physician Assistant | 34 Maple St., Norwalk, CT 06856 | 2017-09-03 |
1134536311 | Allyson E Kubasek | Physician Assistant | 32 Seymour Street, Hartford Hospital Orthopedics Dept, Hartford, CT 06102-5037 | 2014-07-19 |
1477964344 | Samuel Silva | Physician Assistant | 226 White St., Danbury, CT 06810 | 2014-05-14 |
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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.