Individual provider Active NPI

Christa R. Whittard, MD

  • Pediatrics Physician
  • Oro Valley, AZ
National Provider Identifier
1023013224
Registry record updated May 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
31450 Issued in AZ
Practice address
1856 E Innovation Park Dr
Oro Valley, AZ 85755-1963
Phone
(520) 825-7111
Fax
(520) 818-1253
NPI assigned
Jun 15, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 31450 AZ Primary

Addresses

Primary practice location

1856 E Innovation Park Dr
Oro Valley, AZ 85755-1963

Mailing address

1856 E Innovation Park Dr
Oro Valley, AZ 85755-1963
Phone (520) 825-7111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20050601000380 AZ Practitioner - Pediatric Medicine 5890737712 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Allied Physicians LLC CurrentSince Nov 2, 2015 Accepting new patients
Northwest Allied Physicians, LLC CurrentSince Nov 2, 2015 Accepting new patients
Northwest Hospital LLC Family Medicine Past Accepting new patients

Locations

1856 E Innovation Park Dr
Oro Valley, AZ 85755
Phone (520) 825-7111

8333 N Silverbell Rd
Tucson, AZ 85743
Phone (520) 202-7700

8333 N Silverbell Rd
Ste 161
Tucson, AZ 85743
Phone (520) 202-7770

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431475200000",
    "number": "1023013224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1856 E INNOVATION PARK DR",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857551963",
            "telephone_number": "520-825-7111",
            "fax_number": "520-818-1253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1856 E INNOVATION PARK DR",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857551963",
            "telephone_number": "520-825-7111",
            "fax_number": "520-818-1253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITTARD",
        "first_name": "CHRISTA",
        "middle_name": "R.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-15",
        "last_updated": "2015-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "31450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oro Valley, AZ

Sources for this page

Verify at the official NPI Registry.