Active NPI
Christina M Hawthorne, DPM
- Foot & Ankle Surgery Podiatrist
- Bridgeton, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 000559
- Practice address
- 12255 De Paul Dr
Ste 470
Bridgeton, MO 63044-2510 - Phone
- (314) 739-8863
- Fax
- (314) 739-6448
- NPI assigned
- Oct 26, 2006
- Last updated
- Dec 2, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 000559 | MO | Primary |
Addresses
Primary practice location
12255 De Paul Dr
Ste 470
Bridgeton, MO 63044-2510
Mailing address
12255 De Paul Dr
Ste 470
Bridgeton, MO 63044-2510
Phone (314) 739-8863
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 303231500 | Medicaid | MO | |
| 49331 | Other | MO | BLUE CROSS |
| 1984900 | Other | MO | CIGNA |
| 2700497 | Other | MO | UHC |
| CK3051 | Other | MO | RR MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Kent State University College of Podiatric Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3445 Bridgeland Dr
Bridgeton, MO 63044-2604
Phone (314) 739-7100
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.29 of 100
- Promoting interoperability
- 79
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1005 |
| Removal or shaving of skin growth | 654 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000559 | MO | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Next Step Foot & Ankle Centers, Inc | Foot & Ankle Surgery | Current | Accepting new patients |
| Next Step Foot and Ankle Centers, Inc | Foot & Ankle Surgery | Current | Accepting new patients |
| Center for Advanced Foot & Ankle Surgery Inc | Foot & Ankle Surgery | Past | Accepting new patients |
Locations
3445 Bridgeland Dr
Bridgeton, MO 63044
Phone (314) 739-7100
5139 Mattis Rd
Ste 102
Saint Louis, MO 63128
Phone (314) 396-9517
3701 N Saint Peters Pkwy
Ste C1
Saint Peters, MO 63376
Phone (636) 720-0190
Interoperability endpoints
- chawthorne@nsfaaci-il.direct.office.nextgen.com
- chawthorne@usfas.emadirect.md
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Podiatrist
- Saint Louis, MO
- NPI 1518938919
Foot & Ankle Surgery
-
dba MO Foot and Ankle
- Foot & Ankle Surgery Podiatrist
- Saint Louis, MO
- NPI 1174595409
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322784000000",
"number": "1093890055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12255 DE PAUL DR",
"address_2": "STE 470",
"city": "BRIDGETON",
"state": "MO",
"postal_code": "630442510",
"telephone_number": "314-739-8863",
"fax_number": "314-739-6448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12255 DE PAUL DR",
"address_2": "STE 470",
"city": "BRIDGETON",
"state": "MO",
"postal_code": "630442510",
"telephone_number": "314-739-8863",
"fax_number": "314-739-6448"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAWTHORNE",
"first_name": "CHRISTINA",
"middle_name": "M",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-26",
"last_updated": "2011-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "MO",
"license": "000559",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "303231500",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "49331",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1984900",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "2700497",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "CK3051",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bridgeton, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2011; 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.