Individual provider Active NPI

Christopher J Lundquist, M.D.

  • Family Medicine Physician
  • Hermiston, OR
National Provider Identifier
1013079144
Registry record updated Nov 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD12138 Issued in OR
Practice address
1050 W Elm Ave Ste 110
Hermiston, OR 97838-2713
Phone
(541) 567-2995
Fax
(541) 567-7720
NPI assigned
Dec 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 823 FL
Family Medicine Physician 207Q00000X MD12138 OR Primary

Addresses

Primary practice location

1050 W Elm Ave Ste 110
Hermiston, OR 97838-2713

Mailing address

620 NW 11TH St Ste M201
Hermiston, OR 97838-6941
Phone (541) 289-4118

Other practice location 1

1100 Southgate Ste 10
Pendleton, OR 97801-3973
Phone (541) 276-0852

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201106000173 FL Practitioner - Family Practice 1951433911

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
823FLMDInternal Medicine Physician
12138ORMDSpeech-Language Pathologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604448000000",
    "number": "1013079144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 NW 11TH ST STE M201",
            "city": "HERMISTON",
            "state": "OR",
            "postal_code": "978386941",
            "telephone_number": "541-289-4118",
            "fax_number": "541-667-3484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 W ELM AVE STE 110",
            "city": "HERMISTON",
            "state": "OR",
            "postal_code": "978382713",
            "telephone_number": "541-567-2995",
            "fax_number": "541-567-7720"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 Southgate Ste 10",
            "address_purpose": "LOCATION",
            "city": "Pendleton",
            "state": "OR",
            "postal_code": "978013973",
            "country_code": "US",
            "telephone_number": "541-276-0852",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUNDQUIST",
        "first_name": "CHRISTOPHER",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "823",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD12138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermiston, OR

Sources for this page

Verify at the official NPI Registry.