NPIMap

Individual provider Active NPI

Carl L. Christie, DO

  • Gynecologic Oncology Physician
  • Rochester, NY
National Provider Identifier
1023202769
Registry record updated Jun 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
License
309706 Issued in NY
Practice address
1415 Portland Ave Ste 220
Rochester, NY 14621
Phone
(585) 922-4496
Fax
(585) 922-4442
NPI assigned
Sep 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 4267 IA
Obstetrics & Gynecology Physician 207V00000X MB08459100 NJ
Gynecologic Oncology Physician 207VX0201X 309706 NY Primary

Addresses

Primary practice location

1415 Portland Ave Ste 220
Rochester, NY 14621

Mailing address

100 Kings Hwy S
Rochester, NY 14617-5504
Phone (585) 922-4496

Other practice location 1

1561 Long Pond Rd Ste 216
Rochester, NY 14626
Phone (585) 922-4449

Other practice location 2

20 Hagen Dr
Rochester, NY 14625
Phone (585) 922-4020

Other identifiers 7

IdentifierTypeStateIssuer
60043860OtherNJHORIZON NJ HEALTH
6642533/9141242OtherNJAETNA
P3944345OtherNJOXFORD HEALTH PLAN
60043861OtherNJHORIZON NJ HEALTH
010046653OtherNJAMERICHOICE
2141547OtherNJCIGNA
0175889MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, KY, IN3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20181029000867 IL Practitioner - Gynecological OncologyPractitioner - Obstetrics/Gynecology 9739247115 Reassigns benefits to 1 organization
I20220506002183 KY Practitioner - Gynecological Oncology 9739247115 Reassigns benefits to 1 organization
I20251022003932 IN Practitioner - Gynecological Oncology 9739247115 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gynecological Oncology
Education
New York College of Osteo Medicine of New York Institute of Technology, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Norton Hospitals, IncGroup PAC ID 9830001528, 137 clinicians

Practice addresses (Care Compare)

234 E Gray St
Suite 154
Louisville, KY 40202-1903
Phone (502) 629-2500

301 Gordn Gutmann Blvd
Suite 101
Jeffersonville, IN 47130-3765
Phone (812) 288-9969

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MB08459100NJMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Norton Hospitals, Inc CurrentSince May 2, 2022 Accepting new patients
Christie Cares, LLC Gynecologic Oncology Current Accepting new patients
Rockford Health Physicians CurrentSince Oct 1, 2018 Accepting new patients
Norton Hospitals Inc CurrentSince May 2, 2022 Accepting new patients
University Urogynecology Association, PC Obstetrics & Gynecology Past Accepting new patients
Lourdes Medical Associates PA Obstetrics & Gynecology Past Accepting new patients
Cooper Obstetrical Associates, PC Obstetrics & Gynecology Past Accepting new patients

Locations

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

2300 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-5510

7180 Spring Brook Rd
Rockford, IL 61114
Phone (779) 696-2750

301 Gordon Gutmann Blvd
Ste 301
Jeffersonville, IN 47130
Phone (812) 288-9969

301 Gordon Gutmann Blvd
Ste 101
Jeffersonville, IN 47130
Phone (812) 282-4844

4955 Norton Healthcare Blvd
Fl 2
Louisville, KY 40241
Phone (502) 394-6350

4955 Norton Healthcare Blvd
Louisville, KY 40241
Phone (502) 394-6350

2355 Poplar Level Rd
Ste 405
Louisville, KY 40217
Phone (502) 636-7845

3991 Dutchmans Ln
Ste 405
Louisville, KY 40207
Phone (502) 899-3366

676 S Floyd St
Ste 200
Louisville, KY 40202
Phone (502) 629-2500

8033 Dixie Hwy
Louisville, KY 40258
Phone (502) 937-3154

315 E Broadway
Fl 4
Louisville, KY 40202
Phone (502) 272-5165

676 S Floyd St
Lowr
Louisville, KY 40202
Phone (502) 629-2500

315 E Broadway
Louisville, KY 40202
Phone (502) 272-5331

131 Stonecrest Rd
Ste 100
Shelbyville, KY 40065
Phone (502) 633-7093

Interoperability endpoints

  • Direct secure messaging: cchristie231894@direct.nortonhealthcare.org

Organizations & group practices 7

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.

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1188950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624492800000",
    "number": "1023202769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KINGS HWY S",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146175504",
            "telephone_number": "585-922-4496",
            "fax_number": "585-922-4442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 PORTLAND AVE STE 220",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14621",
            "telephone_number": "585-922-4496",
            "fax_number": "585-922-4442"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1561 Long Pond Rd Ste 216",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "14626",
            "country_code": "US",
            "telephone_number": "585-922-4449",
            "fax_number": "585-922-4442",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20 Hagen Dr",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "14625",
            "country_code": "US",
            "telephone_number": "585-922-4020",
            "fax_number": "585-922-4622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHRISTIE",
        "first_name": "CARL",
        "middle_name": "L.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-05",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IA",
            "license": "4267",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "MB08459100",
            "primary": false
        },
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "NY",
            "license": "309706",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON NJ HEALTH",
            "identifier": "60043860",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "6642533/9141242",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH PLAN",
            "identifier": "P3944345",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON NJ HEALTH",
            "identifier": "60043861",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "010046653",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2141547",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0175889",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.