JEFFERY RANDALL WHITE (NPI# 1558564641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558564641 |
| Entity Type | Individual |
| Full Name | JEFFERY RANDALL WHITE |
| Credential | M.D. |
| Practice Address |
6901 Medical Pkwy Radiology Department Waco TX 76712-7910 |
| Mailing Address |
4777 Us Highway 259 Longview TX 75605-7668 |
| Practice Telephone | 2547514299 |
| Practice Fax Number | 9036637394 |
| Mailing Telephone | 9036637393 |
| Mailing Fax Number | 9036637394 |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2013-08-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
P2932 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 302494501 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316308471 | Jeffery White | Counselor | 3107 E Kaweah Ave, Visalia, CA 93292-3309 | 2016-03-16 |
| 1891738480 | Jeffery E White | Anesthesiology | 4725 Statesmen Dr, Ste C-d, Indianapolis, IN 46250-5644 | 2006-06-13 |
| 1770183709 | Jeffery White | Technician/Technologist | 1381 Pio Nono Ave, Macon, GA 31204-4633 | 2020-10-28 |
| 1720693823 | Jeffery Garrett White | Student in an Organized Health Care Education/Training Program | 1127 N Oakley Blvd Fl 3, Chicago, IL 60622-3507 | 2020-09-15 |
| 1679959365 | Jeffery White | Student in an Organized Health Care Education/Training Program | 410 Ouachita St Box 3652, Arkadelphia, AR 71998-0001 | 2015-08-04 |
| 1013113356 | Jeffery Alan White | Student in an Organized Health Care Education/Training Program | 3851 Roger Brooke Dr, Mche-qd(creds), Fort Sam Houston, TX 78234-4501 | 2007-06-25 |
| 1245238377 | Jeffery M White | Dentist | 13701 E Mississippi Ave, Suite 300, Aurora, CO 80012-6141 | 2005-07-12 |
| Street Address |
6901 MEDICAL PKWY RADIOLOGY DEPARTMENT |
| City | WACO |
| State | TX |
| Zip Code | 76712-7910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093708679 | Ascension Providence | General Acute Care Hospital | 6901 Medical Pkwy, Waco, TX 76712-7910 | 2005-08-29 |
| 1801495809 | Heart of Texas Surgical Assists LLC | Specialist/Technologist, Other | 6901 Medical Pkwy, Waco, TX 76712-7910 | 2020-10-21 |
| 1003422528 | Angie Marie Perez | Specialist/Technologist, Other | 6901 Medical Pkwy, Waco, TX 76712-7910 | 2020-09-21 |
| 1336767615 | Carrie Irene Lasly | Nurse Practitioner | 6901 Medical Pkwy, Waco, TX 76712-7910 | 2020-07-13 |
| 1285274373 | Sarah Etheridge | Registered Nurse | 6901 Medical Pkwy, Waco, TX 76712-7910 | 2020-01-07 |
| 1053888412 | Amy Belen Stewart | Nurse Practitioner | 6901 Medical Pkwy, Waco, TX 76712-7910 | 2018-10-24 |
| 1033637954 | Jennifer Sue Armstrong | Nurse Practitioner | 6901 Medical Pkwy, Waco, TX 76712-7910 | 2017-08-30 |
| 1417405291 | Jesse Ian Baker | Nurse Practitioner | 6901 Medical Pkwy, Waco, TX 76712-7910 | 2016-09-21 |
| 1508314410 | Mclennan County Emergency Physicians, Pa | Emergency Medicine | 6901 Medical Pkwy, Waco, TX 76712-7910 | 2016-09-20 |
| 1336590462 | Providence Health Alliance | Clinic/Center | 6901 Medical Pkwy, Waco, TX 76712-7910 | 2016-06-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922634294 | Waco Ophthalmology, Pllc | Ophthalmology | 602 W Highway 6, Waco, TX 76712 | 2020-03-19 |
| 1326692872 | Oceans Behavioral Hospital of Waco LLC | Psychiatric Hospital | 5931 Crosslake Parkway, Waco, TX 76712 | 2019-08-01 |
| 1831759620 | Jessica Ngoc Vien | Optometrist | 1000 Hwy 6, Ste 210, Waco, TX 76712 | 2019-06-14 |
| 1780150888 | Chelsea Cannon | Occupational Therapist | 330 W State Hwy 6, Waco, TX 76712 | 2018-10-17 |
| 1669955399 | Elizabeth Ann Barnhill | Speech-Language Pathologist | 15003 Riatta Rd, Woodway, TX 76712 | 2018-09-09 |
| 1447731617 | Melanie A Melton | Physical Therapist | 300 West Highway 6, Waco, TX 76712 | 2018-08-27 |
| 1396226403 | Gala Kaye Czajkoski | Occupational Therapy Assistant | 300 West Hightway 6, Waco, TX 76712 | 2018-08-27 |
| 1619457454 | Monica Anderson | Physical Therapy Assistant | 300 W Hwy 6, Waco, TX 76712 | 2018-08-21 |
| 1295238368 | Waco Sn Opco LLC | Skilled Nursing Facility | 7501 Bagby, Waco, TX 76712 | 2018-03-14 |
| 1558872952 | C. Guy Fps, Pllc | Otolaryngology | 1129 Aberdeen Rd, Waco, TX 76712 | 2017-10-12 |
| Find all providers in zip 76712 | ||||
| Taxonomy Code | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801820998 | Thomas Brian White | Radiology | 3000 Herring Avenue, Waco, TX 76708 | 2006-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588290340 | Mission Vascular Specialists Corp | Radiology | 718 Lexington Ave Fl 1, San Antonio, TX 78212-4768 | 2020-03-12 |
| 1568095891 | Interventional Partners LLC | Radiology | 4323 N Josey Ln Ste 200, Carrollton, TX 75010-4619 | 2020-02-14 |
| 1467085795 | Interventional Partners LLC | Radiology | 400 W Arbrook Blvd Ste 320, Arlington, TX 76014-3180 | 2020-02-14 |
| 1447883772 | Interventional Partners LLC | Radiology | 3400 Interstate Highway 30 Ste 180, Mesquite, TX 75150-2601 | 2020-02-14 |
| 1649811571 | Amh Ir LLC | Radiology | 4425 Bluestem St, Flower Mound, TX 75028-1123 | 2019-10-02 |
| 1497300081 | Minimally Invasive Surgical Pllc | Radiology | 4532 N Mesa St Ste B2, El Paso, TX 79912-6286 | 2019-08-09 |
| 1922666189 | Interventional Partners, LLC | Radiology | 251 W Medical Center Blvd Ste 200, Webster, TX 77598-4242 | 2019-06-03 |
| 1922563410 | Virtx LLC | Radiology | 13284 Bigelow Ln, Frisco, TX 75035-0782 | 2019-02-08 |
| 1831688779 | Humble Interventional Partners Md Pa | Radiology | 8411 Fm 1960 Bypass Rd W, Humble, TX 77338-4013 | 2018-05-07 |
| 1386163780 | Sunrise Vascular Pllc | Radiology | 2715 Boca Chica Blvd Ste 3, Brownsville, TX 78521-3676 | 2017-09-18 |
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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.