Active NPI
Christopher S Bartlett, PA
- Medical Physician Assistant
- Carson City, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA1038
- Practice address
- 1385 Vista LN
Carson City, NV 89703-4643 - Phone
- (775) 884-4567
- Fax
- (775) 884-4569
- NPI assigned
- May 5, 2006
- Last updated
- May 11, 2010
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA1038 | NV | Primary |
Addresses
Primary practice location
1385 Vista LN
Carson City, NV 89703-4643
Mailing address
1385 Vista LN
Carson City, NV 89703-4643
Phone (775) 884-4567
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100511768 | Medicaid | NV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
102 NW 31St St
Lawton, OK 73505-6100
Phone (580) 353-6790
110 NW 31St St
Lawton, OK 73505-6100
3201 W Gore Blvd
Lawton, OK 73505-6350
3401 W Gore Blvd
Lawton, OK 73505-6332
Phone (580) 510-7037
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comanche County Healthcare Corporation | Current | Accepting new patients | |
| Comanche County Healthcare Corporation | Current | Accepting new patients | |
| Jackson County Memorial Hospital Authority | Past | Accepting new patients | |
| Comanche County Hospital Authority | Past | Accepting new patients | |
| Samaritan Emergency Corp | Past | Accepting new patients |
Locations
3201 W Gore Blvd
Ste 101
Lawton, OK 73505
Phone (580) 248-8225
3201 W Gore Blvd
Ste 201
Lawton, OK 73505
Phone (580) 357-2261
3201 W Gore Blvd
Ste 300
Lawton, OK 73505
Phone (580) 248-5255
3401 W Gore Blvd
Lawton, OK 73505
Phone (580) 483-5207
Interoperability endpoints
- christopher.bartlett@mmg.eclinicaldirectplus.com
Organizations & group practices 5
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.
-
- Public Health or Welfare Agency
- Lawton, OK
- NPI 1053352690
-
dba MMG Allergy and Asthma
- Allergy & Immunology Physician
- Lawton, OK
- NPI 1013640846
-
dba Comanche County Memorial Hospital
- General Acute Care Hospital
- Lawton, OK
- NPI 1720022379
-
- General Acute Care Hospital
- Altus, OK
- NPI 1093763781
-
- Emergency Medicine Physician
- Dayton, OH
- NPI 1922084136
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba CCMH Ambulance Services
- Land Ambulance
- Walters, OK
- NPI 1285181610
Hospital
-
dba Comanche County Memorial Hospital
- General Acute Care Hospital
- Lawton, OK
- NPI 1720022379
-
dba CCMH Ambulance Services
- Land Ambulance
- Lawton, OK
- NPI 1770525883
Hospital
-
- Rural Acute Care Hospital
- Duncan, OK
- NPI 1851396394
-
- General Acute Care Hospital
- Altus, OK
- NPI 1093763781
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1649794157
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1273536000000",
"number": "1114975687",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1385 VISTA LN",
"city": "CARSON CITY",
"state": "NV",
"postal_code": "897034643",
"telephone_number": "775-884-4567",
"fax_number": "775-884-4569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1385 VISTA LN",
"city": "CARSON CITY",
"state": "NV",
"postal_code": "897034643",
"telephone_number": "775-884-4567",
"fax_number": "775-884-4569"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARTLETT",
"first_name": "CHRISTOPHER",
"middle_name": "S",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-05",
"last_updated": "2010-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NV",
"license": "PA1038",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100511768",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Carson City, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2010; 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.