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DR. EDWARD J. WHITE MD FACS NPI 1104824788


NPI Information

NPI: 1104824788
Provider Name: DR. EDWARD J. WHITE, MD, FACS
Classification: Surgery - 208600000X
Entity Type: Individual

PECOS Registration: Yes

Address:
146 HAZARD AVE
SUITE 101-B
ENFIELD, CT
ZIP 06082
Phone: (860) 749-2318
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DR. Edward J. White, MD, FACS is a surgery in Enfield, CT with 55 years of experience. The provider is 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; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. DR. Edward J. White, MD, FACS NPI is 1104824788. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduation Year:1969

The provider's business location address is:

146 HAZARD AVE
SUITE 101-B
ENFIELD, CT
ZIP 06082-571
Phone: (860) 749-2318
Fax: (860) 749-7196

The NPI 1104824788 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/8/2005 and was last updated on 3/31/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12086X0206XSurgerySurgical Oncology039210CONNECTICUTNo
22086S0129XSurgeryVascular Surgery039210CONNECTICUTNo
3208600000XSurgery039210CONNECTICUTYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1611419998OTHERCONNECTICUTTRICARE
22V2766OTHERCONNECTICUTHEALTH NET
302001542MEDICARE ID-TYPE UNSPECIFIEDCONNECTICUT
4611419998OTHERCONNECTICUTCIGNA PROVIDER NUMBER
52991329OTHERCONNECTICUTAETNA PROVIDER NUMBER
6A40558MEDICARE UPINCONNECTICUT
7010039210CT01OTHERCONNECTICUTANTHEM BCBS
8206898OTHERCONNECTICUTPREFERRED ONE
9611419998OTHERCONNECTICUTFIRST HEALTH
1000139210900OTHERCONNECTICUTBLUE CARE FAMILY PLAN
11611419998OTHERCONNECTICUTNORTHEAST HEALTH DIRECT
12001392109MEDICAIDCONNECTICUT
13P2718117OTHERCONNECTICUTOXFORD PROVIDER NUMBER
14039210OTHERCONNECTICUTCONNECTICARE
15611419998OTHERCONNECTICUTUNITED HEALTHCARE
16611419998OTHERCONNECTICUTCOMMUNITY HEALTH NETWORK
17611419998OTHERCONNECTICUTPIONEER HEALTH CARE
18611419998OTHERCONNECTICUTPHCS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.