Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mariah White, PA-C

Individual provider Physician Assistant · NPI 1659731529

Mariah White, PA-C is a Physician Assistant in O Fallon, Missouri. Qualified in 2015, 11 years ago. Practices with Fairview Heights Medical Group SC, a 448-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
11
Licensed in
MO
In the registry since
2016
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

20 Progress Point Pkwy Ste 200
O Fallon, MO 63368-2207
Phone: (636) 916-7060
Fax: (636) 916-9421
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 70 Jungermann Cir Ste 300, Saint Peters, MO 63376-1637 — (636) 916-7060

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2016006527 (MO)

Record details

NPI number1659731529
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 4, 2016
Last updated in NPPESJanuary 14, 2025
Certification dateJanuary 14, 2025
Mailing addressPo Box 959354, Saint Louis, MO 63195-1637

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Fairview Heights Medical Group Sc — 448 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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