Active NPI
Michael Douglas Christy
- Paramedic
- Shelby Township, MI
National Provider Identifier
1104425727
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Paramedic
- License
- 480106
- Practice address
- 7728 21 Mile Rd
Shelby Township, MI 48317-4308 - Phone
- (586) 201-7068
- NPI assigned
- Oct 24, 2020
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Paramedic | 146L00000X | 480106 | MI | Primary |
Addresses
Primary practice location
7728 21 Mile Rd
Shelby Township, MI 48317-4308
Mailing address
7728 21 Mile Rd
Shelby Township, MI 48317-4308
Phone (586) 201-7068
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 480106 | MI | MD | Paramedic |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603497600000",
"number": "1104425727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7728 21 MILE RD",
"city": "SHELBY TOWNSHIP",
"state": "MI",
"postal_code": "483174308",
"telephone_number": "586-201-7068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7728 21 MILE RD",
"city": "SHELBY TOWNSHIP",
"state": "MI",
"postal_code": "483174308",
"telephone_number": "586-201-7068"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHRISTY",
"first_name": "MICHAEL",
"middle_name": "DOUGLAS",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-10-24",
"last_updated": "2020-10-24",
"certification_date": "2020-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "146L00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Paramedic",
"state": "MI",
"license": "480106",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shelby Township, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.