Individual provider Active NPI

Jason E Christensen, DO

  • Emergency Medicine Physician
  • Fort Hood, TX
National Provider Identifier
1083752174
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
M0380 Issued in TX
Practice address
36000 Darnall Loop Box 31
Fort Hood, TX 76544-4752
Phone
(254) 288-8303
Fax
(254) 286-7055
NPI assigned
Feb 2, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X M0380 TX Primary

Addresses

Primary practice location

36000 Darnall Loop Box 31
Fort Hood, TX 76544-4752

Mailing address

36000 Darnall Loop Box 31
Fort Hood, TX 76544-4752
Phone (254) 288-8303

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20070828000163 AZ Practitioner - Emergency Medicine 6002846722 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gila Health ResourcesGroup PAC ID 1254327216, 28 clinicians

Practice addresses (Care Compare)

401 Burro Aly
Morenci, AZ 85540-9647
Phone (928) 865-7500

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M0380TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gila Health Resources CurrentSince Jul 1, 2020 Accepting new patients
Chandler Emergency Medical Group, LLC Emergency Medicine CurrentSince Jun 1, 2007 Accepting new patients
Critical Care Consultants LLC Current Accepting new patients

Locations

1955 W Frye Rd
Chandler, AZ 85224
Phone (480) 507-2961

3555 S Val Vista Dr
Gilbert, AZ 85297
Phone (480) 434-4356

401 Burro Aly
Morenci, AZ 85540
Phone (928) 865-7500

Interoperability endpoints

  • Direct secure messaging: jason.christensen.1@33093.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083752174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36000 DARNALL LOOP BOX 31",
            "city": "FORT HOOD",
            "state": "TX",
            "postal_code": "765444752",
            "telephone_number": "254-288-8303",
            "fax_number": "254-286-7055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36000 DARNALL LOOP BOX 31",
            "city": "FORT HOOD",
            "state": "TX",
            "postal_code": "765444752",
            "telephone_number": "254-288-8303",
            "fax_number": "254-286-7055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTENSEN",
        "first_name": "JASON",
        "middle_name": "E",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "M0380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Hood, TX

Sources for this page

Verify at the official NPI Registry.