SHAWN L WHITE (NPI# 1396764767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396764767 |
| Entity Type | Individual |
| Full Name | SHAWN L WHITE |
| Credential | MD |
| Practice Address |
1001 W Eagle Dr Decatur TX 76234-3745 |
| Practice Telephone | 9406835287 |
| Practice Fax Number | 9406834382 |
| Mailing Telephone | 9406835287 |
| Mailing Fax Number | 9406834382 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2012-08-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | J8836 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 133576201 | 05 | |
| TX | RAILROAD MEDICARE | 930052226 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295388338 | Shawn R White | Student in an Organized Health Care Education/Training Program | 895 Union St Ste 12, Bangor, ME 04401-3054 | 2019-07-18 |
| 1073016903 | Shawn White | Counselor | 380 Suwannee Trail St, Bowling Green, KY 42103-7956 | 2018-03-16 |
| 1124364161 | Shawn Walter White | Rehabilitation Practitioner | 620 E Plumb Ln, Reno, NV 89502-3536 | 2012-12-19 |
| 1588924195 | Shawn Michael White | Counselor | 1727 Amsterdam Ave, New York, NY 10031-4611 | 2012-05-17 |
| 1750674651 | Shawn Prentice White | Licensed Practical Nurse | 4532 Miller Rd, Middletown, OH 45042-2726 | 2011-05-25 |
| 1801188362 | Shawn Eileen White | Registered Nurse | Hwy 18 Soldier Creek Road, Rosebud, SD 57570 | 2011-05-03 |
| 1366740227 | Shawn Wayne White | Radiologic Technologist | 11300 Financial Centre Pkwy, Suite 400, Little Rock, AR 72211-3746 | 2011-03-02 |
| 1497941678 | Shawn David White | Counselor | 1018 21st St, Bakersfield, CA 93301-4709 | 2007-09-20 |
| 1124185780 | Shawn M White | Registered Nurse | Cmr 442, Apo, AE 09042 | 2007-01-03 |
| 1255497665 | Shawn E White | Urology | 1320 Broadcasting Rd, Ste 200, Wyomissing, PA 19610-3222 | 2006-12-29 |
| Street Address |
1001 W EAGLE DR |
| City | DECATUR |
| State | TX |
| Zip Code | 76234-3745 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831192574 | Larry J Cooper | Radiology | 1001 W Eagle Dr, Decatur, TX 76234-3745 | 2005-05-26 |
| 1689214546 | Hemesath Podiatry Pllc | Podiatrist | 1001 W Eagle Dr, Decatur, TX 76234-3745 | 2020-01-08 |
| 1316412919 | Mary Louise Gardner | Nurse Practitioner | 1001 W Eagle Dr, Decatur, TX 76234-3745 | 2018-10-10 |
| 1053770263 | Casey Meadows | Family Medicine | 1001 W Eagle Dr, Decatur, TX 76234-3745 | 2016-02-16 |
| 1891154365 | Wise County Medical & Surgical Association | Family Medicine | 1001 W Eagle Dr, Decatur, TX 76234-3745 | 2016-02-12 |
| 1437412210 | Susan M Ogden-mckee | Family Medicine | 1001 W Eagle Dr, Decatur, TX 76234-3745 | 2012-06-18 |
| 1508182932 | Luke Benjamin Mcbride | Family Medicine | 1001 W Eagle Dr, Decatur, TX 76234-3745 | 2010-04-09 |
| 1841443264 | Bradley Darrell Faglie | Family Medicine | 1001 W Eagle Dr, Decatur, TX 76234-3745 | 2008-10-29 |
| 1700033875 | Beth Renee Wieser | Family Medicine | 1001 W Eagle Dr, Decatur, TX 76234-3745 | 2008-08-20 |
| 1386802270 | Cynthia Kay Hemesath | Podiatrist | 1001 W Eagle Dr, Decatur, TX 76234-3745 | 2008-05-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477102028 | Ursula Eileen Fernandez-plata | Technician | 1221 Cr 4371, Decatur, TX 76234 | 2019-09-06 |
| 1649772377 | Stephanie Jennie Roddenberry | Nurse Practitioner | 2301 S Fm 51 Ste 500, Decatur, TX 76234 | 2018-03-08 |
| 1467731679 | David Gatti Corless | Dentist | 301 W. Main St., Decatur, TX 76234 | 2011-08-05 |
| 1376830067 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 805 W Business Hwy 380, Decatur, TX 76234 | 2011-07-01 |
| 1356667844 | Richard Ryan Ooten | Specialist/Technologist, Other | 239 Harvey Lane, Decatur, TX 76234 | 2010-04-09 |
| 1003049032 | Advanced Gastroenterology Associates, Pa | Internal Medicine | 607 Medical Center Drive, Suite 2600, Decatur, TX 76234 | 2009-08-25 |
| 1831346188 | Rufus John Nelson | Dentist | 1710 S Hwy 51 Ste 20,pmb #176, 1000 W Business Hwy 380, Decatur, TX 76234 | 2008-08-19 |
| 1851558449 | James Lee Hendrick | Counselor | 2304 Fm 51 South, Decatur, TX 76234 | 2008-05-21 |
| 1891964995 | Sheryl A White | Counselor | 1106 E Business Hwy 380, Decatur, TX 76234 | 2008-02-22 |
| 1366625022 | Tower Mutual Holding Company, Inc. | Durable Medical Equipment & Medical Supplies | 206 N. State Street, Decatur, TX 76234 | 2007-12-17 |
| Find all providers in zip 76234 | ||||
| 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 |
|---|---|---|---|---|
| 1982170817 | Health-e LLC | Family Medicine | 1466 Country Squire Dr, Decatur, GA 30033-2414 | 2018-10-18 |
| 1548772536 | D'neka Colzie | Family Medicine | 2663 Easterly Pl, Decatur, GA 30035-4004 | 2017-10-30 |
| 1356862551 | Amruta Dutia | Family Medicine | 102 W Kenwood Ave Ste 102, Decatur, IL 62526-4380 | 2017-06-28 |
| 1962938043 | Atlanta Functional & Integrative Medicine | Family Medicine | 2786 N Decatur Rd, Decatur, GA 30033-5928 | 2017-05-10 |
| 1194179341 | Alexander Bryant Mcqueen | Family Medicine | 2422 Danville Rd Sw Ste E, Decatur, AL 35603-4221 | 2016-04-13 |
| 1609259969 | Vitale Medical Inc | Family Medicine | 3290 Memorial Dr Ste B1, Decatur, GA 30032-3400 | 2015-07-06 |
| 1427465434 | Martha Read | Family Medicine | 2208 Danville Rd Sw Ste A, Decatur, AL 35601 | 2014-07-22 |
| 1881036879 | Brigitte B. Nahmias | Family Medicine | 114 Mckoy St, Decatur, GA 30030-4346 | 2013-07-19 |
| 1275976094 | Zachary James Shipp | Family Medicine | 102 W Kenwood Ave Ste 100, Decatur, IL 62526-4379 | 2013-04-11 |
| 1790023497 | Philip Henry Sharkey | Family Medicine | 4666 E Powers Blvd, Decatur, IL 62521-2549 | 2013-01-30 |
| Find all providers in DECATUR | ||||
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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.