| Jonathan M White, MD | |
|
401 6th Ave, Montgomery, WV 25136-2199 | |
| (304) 442-5151 | |
| (304) 442-7494 |
| Full Name | Jonathan M White |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 401 6th Ave, Montgomery, West Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538452438 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 25777 (West Virginia) | Secondary |
| 207P00000X | Emergency Medicine | 25777 (West Virginia) | Primary |
| Entity Name | Montgomery General Hospital, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619913647 PECOS PAC ID: 6204735269 Enrollment ID: O20040108000241 |
| Entity Name | Hospital Development Co. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790745677 PECOS PAC ID: 4183527476 Enrollment ID: O20040406000528 |
| Entity Name | Ths Physician Partners Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871866806 PECOS PAC ID: 9537316393 Enrollment ID: O20120829000738 |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan M White, MD Po Box 270, Montgomery, WV 25136-0270 Ph: (304) 442-5151 | Jonathan M White, MD 401 6th Ave, Montgomery, WV 25136-2199 Ph: (304) 442-5151 |
Robert Michael Eggleston, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 401 6th Ave, Suite 301, Montgomery, WV 25136 Phone: 304-442-2521 Fax: 304-442-7463 |