Physician Compare National (NPI:1841677333)

HEALTHCARE PROVIDER: CASEY WILLLIAM WHITE MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1841677333
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3476890757
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20200302002089
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	WHITE
	Individual professional last name
Provider First Name	CASEY
	Individual professional first name
Provider Middle Name	WILLIAM
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2019
	Individual professional's medical school graduation year
Primary Specialty	CARDIOVASCULAR DISEASE (CARDIOLOGY)
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	HOSPITALIST
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	HOSPITALIST
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Organization Legal Name	ST PETERS HOSPITAL OF THE CITY OF ALBANY
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	2668460072
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	165
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	315 S MANNING BLVD
	Group Practice or individual's line 1 address
City	ALBANY
	Group Practice or individual's city
State	NY
	Group Practice or individual's state
Zip Code	122081707
	Group Practice or individual's zip code (9 digits when available)
Phone Number	5185251550
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y