MEDICARE: THOMAS C WHITE MD PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	22583	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	675089	OTHER	CO	BCBS PIN
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1659585321
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THOMAS C WHITE MD PC

Provider Business Mailing Address
First Line	:	200 W COUNTY LINE RD STE 100
Second Line	:
City	:	HIGHLANDS RANCH
State	:	CO
Zip	:	80129-2342
Country	:	US
Telephone Number	:	303-996-2800
Fax Number	:	303-470-9595

Provider Business Practice Location Address
First Line	:	200 W COUNTY LINE RD STE 100
Second Line	:
City	:	HIGHLANDS RANCH
State	:	CO
Zip	:	80129-2342
Country	:	US
Telephone Number	:	303-996-2800
Fax Number	:	303-470-9595

Authorized Official
Title or Position	:	OWNER
Name	:	DR. THOMAS C WHITE
Credential	:	MD
Telephone Number	:	303-996-2800

Provider Enumeration Date	:	05/10/2007
Last Update Date	:	07/18/2019

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Directions to “THOMAS C WHITE MD PC ” Practice Location

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