John Joseph White in Decatur - Surgery

John Joseph White - NPI 1184606527

John Joseph White is a Surgery in Decatur, Illinois. John Joseph White practices all healthcare services and medical treatments related to Surgery. The NPI Number for John Joseph White is 1184606527. The last update date is 2007-10-26.

John Joseph White's current location address is 1750 E Lake Shore Dr, Decatur, Illinois. You can contact this provider via phone number 2174286300 and fax number 2174286322. The mailing address for John Joseph White is 1750 E Lake Shore Dr, Decatur, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name John Joseph White
Address 1750 E Lake Shore Dr, Decatur, Illinois
Phone Number 2174286300
Fax Number 2174286322
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1184606527
Provider Enumeration Date 2005-11-18
Last Updated Date 2007-10-26

Provider Mailing Address Detail

Address 1750 E Lake Shore Dr
City Decatur
State Illinois (IL)
Post Code 625213809
Phone Number 2174286300
Fax Number 2174286322

Provider's Primary Taxonomy Detail

Speciality Surgery
Taxonomy 208600000X
Definition:
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue;

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
CI8411 MEDICARE TRAVELERS

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FAQs about John Joseph White

What is the unique identifier code issued to John Joseph White by the Centers for Medicare & Medicaid Services (CMS)?

The John Joseph White has been assigned the NPI (National Provider Identifier) 1184606527. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical location address where John Joseph White's facilities are situated?

The facilities of John Joseph White are physically located at the following address: 1750 E Lake Shore Dr, Decatur, IL, 625213809.

What is the area of specialization for John Joseph White, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for John Joseph White is Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 208600000X.

When did John Joseph White receive its 1184606527 assignment?

The John Joseph White was assigned its 1184606527 on 2005-11-18, which is the date when this unique identifier was issued to the organization.

As of what date were the details pertaining to John Joseph White last refreshed?

The information related to the John Joseph White, including its address, specialty, and other relevant details, was last updated on 2007-10-26.

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