Individual provider Active NPI

Christopher Michael Standley, D.O.

  • Family Medicine Physician
  • Moscow, ID
National Provider Identifier
1073952537
Registry record updated Sep 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
O-1360 Issued in ID
Practice address
700 S Main St
Moscow, ID 83843-3056
Phone
(208) 882-4511
NPI assigned
Jun 18, 2013
Last updated
Sep 15, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2013018129 MO
Family Medicine Physician 207Q00000X O-1360 ID Primary
Hospitalist Physician 208M00000X DO232452 OR
Hospitalist Physician 208M00000X 257556 AK

Addresses

Primary practice location

700 S Main St
Moscow, ID 83843-3056

Mailing address

PO Box 8007
Moscow, ID 83843-0507
Phone (208) 883-2224

Other practice location 1

1515 Village Dr
Cottage Grove, OR 97424-9700
Phone (541) 767-5200

Other practice location 2

6675 Holmes Rd Ste 360
Kansas City, MO 64131-1167
Phone (816) 276-7650

Other practice location 3

3100 Tongass Ave
Ketchikan, AK 99901-5746
Phone (907) 225-5171

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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
I20200403003014 ID Practitioner - Family Practice 9638480916 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Kansas City College of Medicine and Surgery, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gritman Medical Center IncGroup PAC ID 8729070164, 15 clinicians

Practice addresses (Care Compare)

700 S Main St
Moscow, ID 83843-3056
Phone (208) 882-4511

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gritman Medical Center Inc CurrentSince Mar 20, 2020 Accepting new patients
Gritman Medical Center Inc. CurrentSince Mar 20, 2020 Accepting new patients

Locations

700 S Main St
Moscow, ID 83843
Phone (208) 746-7555

Interoperability endpoints

  • Direct secure messaging: christopher.standley@hca2.eclinicaldirectplus.com
  • Direct secure messaging: cstandley689754@direct.ochin.org

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1371513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789430400000",
    "number": "1073952537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8007",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838430507",
            "telephone_number": "208-883-2224",
            "fax_number": "208-883-6580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 S MAIN ST",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838433056",
            "telephone_number": "208-882-4511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1515 Village Dr",
            "address_purpose": "LOCATION",
            "city": "Cottage Grove",
            "state": "OR",
            "postal_code": "974249700",
            "country_code": "US",
            "telephone_number": "541-767-5200",
            "fax_number": "541-767-5310",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6675 Holmes Rd Ste 360",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641311167",
            "country_code": "US",
            "telephone_number": "816-276-7650",
            "fax_number": "816-276-7992",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3100 Tongass Ave",
            "address_purpose": "LOCATION",
            "city": "Ketchikan",
            "state": "AK",
            "postal_code": "999015746",
            "country_code": "US",
            "telephone_number": "907-225-5171",
            "fax_number": "907-228-8335",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STANDLEY",
        "first_name": "CHRISTOPHER",
        "middle_name": "MICHAEL",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-18",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2013018129",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "O-1360",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "OR",
            "license": "DO232452",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "AK",
            "license": "257556",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moscow, ID

Sources for this page

Verify at the official NPI Registry.