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MRS. MATTIE WHITE MD
NPI 1316912892
Family Medicine in Saint Louis, MO

Active since February 20, 2006
3197 PORTIS AVE, SAINT LOUIS, MO 63116(618) 713-3847 Get Directions Write a Review

NPPES record last updated: October 17, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 17, 2017, Nov 16, 2016 (2 updates tracked since 2016).

About Mrs. Mattie White Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. MATTIE WHITE MD (NPI 1316912892) is an individual family medicine provider in Saint Louis, Missouri, licensed in Missouri (2008014947) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1316912892
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMRS. MATTIE WHITECredential: MD
Location Address3197 PORTIS AVESaint Louis, MO 63116-2023
Mailing Address3197 Portis AveSaint Louis, MO 63116-2023
Phone(618) 713-3847
Sole ProprietorNo
Enumeration DateFebruary 20, 2006
Last NPPES UpdateOctober 17, 20172 updates tracked since enumeration
✔ NPI 1316912892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in MO · 2008014947✔ Licensed in IL · 036103546
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3197 PORTIS AVE, Saint Louis, MO 63116
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Other Identifiers 10

OtherK04489IL · Umwa Pin
OtherCB3700IL · Railroad Group Number
Other10007459IL · Bcbs Group Number
Medicaid036103546IL
OtherP00189155IL · Railroad Medicare
Medicaid1316912892MO
Other659580IL · Medicare Group
Medicare UPINH41633IL
Medicare PINK04489IL
Other460661IL · Healthlink Prov Number

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mattie White's NPI number?

The NPI number for Mattie White is 1316912892. It was assigned to this individual provider in the NPPES registry on February 20, 2006.

Where is Mattie White located?

Mattie White practices at 3197 Portis Ave, Saint Louis, MO 63116. The listed phone number is (618) 713-3847.

What is Mattie White's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Mattie White was last updated on October 17, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.