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Individual provider Active NPI

John C Christianson, M.D

  • Infectious Disease Physician
  • Milwaukee, WI
National Provider Identifier
1114021151
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
27387 Issued in WI
Practice address
2025 W Oklahoma Ave
Suite 114
Milwaukee, WI 53215-4455
Phone
(414) 647-1537
Fax
(414) 647-1560
NPI assigned
Sep 11, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

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
Infectious Disease Physician 207RI0200X 27387 WI Primary

Addresses

Primary practice location

2025 W Oklahoma Ave
Suite 114
Milwaukee, WI 53215-4455

Mailing address

2025 W Oklahoma Ave
Suite 114
Milwaukee, WI 53215-4455
Phone (414) 647-1537

Other identifiers 1

IdentifierTypeStateIssuer
30728300MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040122000677 WI Practitioner - Internal MedicinePractitioner - Infectious Disease 1951203736 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Infectious Disease
Education
Medical College of Wisconsin, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2025 W Oklahoma Ave
Suite 110
Milwaukee, WI 53215-4455
Phone (414) 389-2920

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
63.03 of 100Reported as individual
Quality
76.8
Improvement activities
0
Cost
74.38

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
27387WIMDInfectious Disease Physician
0101034184VAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Infectious Disease Infectious Disease CurrentSince Apr 1, 2011 Accepting new patients
Affiliated Iinfectious Disease Consultants of Wisconsin SC Infectious Disease Past Accepting new patients

Locations

10101 S 27th St
Fl 2
Franklin, WI 53132
Phone (414) 325-4700

2025 W Oklahoma Ave
Ste 110
Milwaukee, WI 53215
Phone (414) 389-2920

2900 W Oklahoma Ave
Milwaukee, WI 53215
Phone (414) 385-2590

3237 S 16th St
Milwaukee, WI 53215
Phone (414) 647-5000

2400 Golf Rd
Pewaukee, WI 53072
Phone (262) 524-2525

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 9

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": "1157932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114021151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 W OKLAHOMA AVE",
            "address_2": "SUITE 114",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532154455",
            "telephone_number": "414-647-1537",
            "fax_number": "414-647-1560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 W OKLAHOMA AVE",
            "address_2": "SUITE 114",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532154455",
            "telephone_number": "414-647-1537",
            "fax_number": "414-647-1560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTIANSON",
        "first_name": "JOHN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "WI",
            "license": "27387",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30728300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.