Charles E. Christianson, M.D.
Individual provider Active NPI Family Medicine Physician · Grand Forks, ND
NPI 1083674337 · NPPES record last updated Feb 8, 2013
Key facts
- NPI
- 1083674337
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 9006 (ND)
- Practice address
- 501 Columbia Rd
Department of Family and Community Medicine
Grand Forks, ND 58202-9037 - Phone
- (701) 777-3240
- Fax
- (701) 777-4849
- NPI assigned
- Mar 23, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of North Dakota | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 9006 | ND | Yes |
Addresses
Primary practice location
501 Columbia Rd
Department of Family and Community Medicine
Grand Forks, ND 58202-9037
Mailing address
501 N Columbia Rd
Department of Family and Community Medicine
Grand Forks, ND 58202-9037
Phone (701) 777-3240
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11834 | Medicaid | ND |
Other providers in Grand Forks, ND
- Chiro RX, LTD.
- Tiffany Chiu
- Megan J Christensen
- Mark J Christenson
- Meredith A. Christiansen
- Anneetta Jean Christman
- Anthony G Chu
- Charles Champ Churchill
- Brandon Ciak
- Stephen V. Cisco
All providers in Grand Forks, ND · Family Medicine Physician in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 8, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.