Justin Richard White (NPI# 1538307897, PAC ID# 1456503218) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1538307897 |
| PAC ID by PECOS | 1456503218 |
| Professional Enrollment ID | I20130823000705 |
| Full Name | Justin Richard White |
| Organization Legal Name | LOVELACE HEALTH SYSTEM LLC |
| Address |
601 Martin Luther King Jr Ave Ne Albuquerque NM 87102 |
| Phone Number | 5057278000 |
| Gender | M |
| Graduation Year | 2012 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 9739099326 |
| Number of Group Practice Members | 19 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 320009 | LOVELACE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 505 Elm St Ne, Albuquerque, NM 87102-2500 | 5057274700 | LOVELACE HEALTH SYSTEM LLC |
| 601 Martin Luther King Jr Ave Ne, Albuquerque, NM 87102 | 5057278000 | LOVELACE HEALTH SYSTEM LLC |
| 715 Dr Martin Luther King Jr Ave Ne, 102 Lovelace Cancer Care Program, Albuquerque, NM 87102-3666 | 5057274050 | LOVELACE HEALTH SYSTEM LLC |
| 715 Dr Martin Luther King Jr Ne, 301 Lovelace Medical Group General Surgery, Albuquerque, NM 87102-3668 | 5057277090 | LOVELACE HEALTH SYSTEM LLC |
| Organization Legal Name | LOVELACE HEALTH SYSTEM LLC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul A Brittain | Hematology/oncology | Lovelace Health System LLC | 715 Dr Martin Luther King Jr Ne, 301 Lovelace Medical Group General Surgery, Albuquerque, NM 87102-3668 |
| Ellen Mozurkewich | Obstetrics/gynecology | Lovelace Health System LLC | 4701 Montgomery Ne, Albuquerque, NM 87109-1219 |
| Yubao Wang | Hematology/oncology | Lovelace Health System LLC | 715 Dr Martin Luther King Jr Ave Ne, 102 Lovelace Cancer Care Program, Albuquerque, NM 87102-3666 |
| Debra L. Winkeljohn | Certified Clinical Nurse Specialist (cns) | Lovelace Health System LLC | 10501 Golf Course Rd Nw, Lovelace Westside Hospital, Albuquerque, NM 87114-5019 |
| Malcolm Purdy | Medical Oncology | Lovelace Health System LLC | 715 Dr Martin Luther King Jr Ne, 301 Lovelace Medical Group General Surgery, Albuquerque, NM 87102-3668 |
| Street Address |
601 MARTIN LUTHER KING JR AVE NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip | 87102 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda G Wilder | Clinical Social Worker | 200 Rosemont Ave Ne, Albuquerque, NM 87102-1569 | |
| Rachel L Rogers | Clinical Social Worker | 200 Rosemont Ave Ne, Suite D, Albuquerque, NM 87102-1599 | |
| Elaine K Padilla | Clinical Social Worker | Outcomes Inc | 1503 University Blvd Ne, Albuquerque, NM 87102-1708 |
| Kathryn Fehr | Clinical Social Worker | Outcomes Inc | 1503 University Blvd Ne, Albuquerque, NM 87102-1708 |
| Daniel Crowder | Clinical Social Worker | Outcomes Inc | 1503 University Blvd Ne, Albuquerque, NM 87102-1708 |
| Claire Greene | Clinical Social Worker | Outcomes Inc | 1503 University Blvd Ne, Albuquerque, NM 87102-1708 |
| Scott S Stoerner | Rheumatology | Albuquerque Center for Rheumatology PC | 1617 University Blvd Ne, Albuquerque, NM 87102-1710 |
| Jacqueline K Dean | Rheumatology | Albuquerque Center for Rheumatology PC | 1617 University Blvd Ne, Albuquerque, NM 87102-1710 |
| Leroy A Pacheco | Rheumatology | Albuquerque Center for Rheumatology PC | 1617 University Blvd Ne, Albuquerque, NM 87102-1710 |
| John Vawter | Chiropractic | The Albuquerque Neck Back and Pain Center LLC | 1415 Univeristy Bl Ne, Suite A, Albuquerque, NM 87102-1716 |
| Find all physicians in zip 87102 | |||
| City | ALBUQUERQUE |
| Zip Code | 87102 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | ALBUQUERQUE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Justin Richard White.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.