Organization Active NPI

Christianne M McGrath MD PC

  • Medical Specialty Clinic/Center
  • Colorado Springs, CO
National Provider Identifier
1043680119
Registry record updated Oct 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
DR0052618 Issued in CO
Legal business name
CHRISTIANNE M MCGRATH MD PC
Practice address
1625 Medical Center PT
Suite 212
Colorado Springs, CO 80907-8731
Phone
(719) 344-5355
Fax
(719) 375-8381
NPI assigned
Oct 2, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2015

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

Authorized official

Name
Dr. Christianne McGrath, MDNPI 1568600450
Title
President
Phone
(719) 344-5355

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X DR0052618 CO Primary

Addresses

Primary practice location

1625 Medical Center PT
Suite 212
Colorado Springs, CO 80907-8731

Mailing address

1625 Medical Center PT
Suite 212
Colorado Springs, CO 80907-8731
Phone (719) 344-5355

Other identifiers 3

IdentifierTypeStateIssuer
12152323MedicaidCO
1568600450OtherPRACTITIONER NPI
DR0052618OtherCOMD LICENSE

Other names 1

  • Alligator Allergy & Asthma Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160203000065 CO Part B Supplier - Clinic/Group Practice 6709180367 Receives reassigned benefits from 1 practitioner
Practice locations: Colorado Springs, CO

National Provider Directory

National Provider Directory

Locations

4194 Royal Pine Dr
Ste 200
Colorado Springs, CO 80920
Phone (719) 344-5355

1625 Medical Center Pt
Ste 212
Colorado Springs, CO 80907
Phone (719) 344-5355

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1443744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443744000000",
    "number": "1043680119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 MEDICAL CENTER PT",
            "address_2": "SUITE 212",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809078731",
            "telephone_number": "719-344-5355",
            "fax_number": "719-375-8381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 MEDICAL CENTER PT",
            "address_2": "SUITE 212",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809078731",
            "telephone_number": "719-344-5355",
            "fax_number": "719-375-8381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIANNE M MCGRATH MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-02",
        "last_updated": "2015-10-02",
        "status": "A",
        "authorized_official_last_name": "MCGRATH",
        "authorized_official_first_name": "CHRISTIANNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "719-344-5355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CO",
            "license": "DR0052618",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12152323",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRACTITIONER NPI",
            "identifier": "1568600450",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD LICENSE",
            "identifier": "DR0052618",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alligator Allergy & Asthma",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.