Active NPI
Christina L Wolchok
- Surgery Physician
- Mount Pleasant, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 72294
- Practice address
- 881 Leonard Fulghum Dr Ste 102
Mount Pleasant, SC 29464-5473 - Phone
- (843) 960-9712
- NPI assigned
- Apr 7, 2014
- Last updated
- Oct 19, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Surgery Physician | 208600000X | 72294 | CT | Primary |
Addresses
Primary practice location
881 Leonard Fulghum Dr Ste 102
Mount Pleasant, SC 29464-5473
Mailing address
PO Box 604408
Charlotte, NC 28260-4408
Other practice location 1
24 Hospital Ave
Danbury, CT 06810-6077
Phone (203) 739-7000
Other practice location 2
240 Meeting House Ln
Southampton, NY 11968-5009
Phone (631) 726-0409
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
20 Germantown Rd
Danbury, CT 06810-5023
Phone (203) 739-4820
24 Hospital Ave
Danbury, CT 06810-6099
Phone (203) 739-7118
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 17 |
| Melanoma (skin cancer) excision | 14 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nuvance Health Medical Practice CT, Inc. | Single Specialty | Current | Accepting new patients |
| East Cooper Physician Group LLC | Surgery | Past | Accepting new patients |
Locations
20 Germantown Rd
Danbury, CT 06810
Phone (203) 739-4820
24 Hospital Ave
Danbury, CT 06810
Phone (203) 739-7118
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Danbury, CT
- NPI 1407898117
Single Specialty
-
dba East Cooper Breast and General Surgery
- Surgery Physician
- Mount Pleasant, SC
- NPI 1285496026
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Danbury, CT
- NPI 1548293343
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1792368000000",
"number": "1073932000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 604408",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282604408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "881 LEONARD FULGHUM DR STE 102",
"city": "MOUNT PLEASANT",
"state": "SC",
"postal_code": "294645473",
"telephone_number": "843-960-9712"
}
],
"practiceLocations": [
{
"address_1": "24 Hospital Ave",
"address_purpose": "LOCATION",
"city": "Danbury",
"state": "CT",
"postal_code": "068106077",
"country_code": "US",
"telephone_number": "203-739-7000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "240 Meeting House Ln",
"address_purpose": "LOCATION",
"city": "Southampton",
"state": "NY",
"postal_code": "119685009",
"country_code": "US",
"telephone_number": "631-726-0409",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WOLCHOK",
"first_name": "CHRISTINA",
"middle_name": "L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-04-07",
"last_updated": "2026-10-19",
"certification_date": "2026-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CT",
"license": "72294",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Pleasant, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.