MR. GREGORY ALAN WHITE


Address: 11 Industrial Park Rd, Niantic, CT 06357-1210
Phone: 8608897345

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).

Provider Overview

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

Taxonomy

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

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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

Office Location

Street Address 11 INDUSTRIAL PARK RD
City NIANTIC
State CT
Zip Code 06357-1210

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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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Competitor

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City NIANTIC
Zip Code 06357

Improve Information

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Dataset Information

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.

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