Active NPI
Christine A. Laine, M.D.
- Internal Medicine Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD047292L
- Practice address
- 833 Chestnut St
Suite 220
Philadelphia, PA 19107-4414 - Phone
- (215) 955-8465
- Fax
- (215) 955-2516
- NPI assigned
- Jul 21, 2006
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD047292L | PA | Primary |
Addresses
Primary practice location
833 Chestnut St
Suite 220
Philadelphia, PA 19107-4414
Mailing address
833 Chestnut St
Suite 220
Philadelphia, PA 19107-4414
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7710607 | Medicaid | NJ | |
| 001285291 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- State University of New York at Stony Brook, School of Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
833 Chestnut St
East 2ND FLR Suite 220
Philadelphia, PA 19107-5102
Phone (215) 955-8465
Hospital & facility affiliations
- Thomas Jefferson University Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jefferson University Physicians | Internal Medicine | Current | Accepting new patients |
| Jefferson University Physicians | Past | Accepting new patients | |
| Thomas Jefferson University Hospitals Inc | Past | Accepting new patients |
Locations
833 Chestnut St
Frnt 2
Philadelphia, PA 19107
Phone (215) 955-2542
925 Chestnut St
Fl 6
Philadelphia, PA 19107
Phone (215) 955-6760
833 Chestnut St
Ste 220
Philadelphia, PA 19107
Phone (215) 955-2363
833 Chestnut St
Ste 701
Philadelphia, PA 19107
Phone (215) 955-0735
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.
-
- General Practice Physician
- Philadelphia, PA
- NPI 1326093675
Internal Medicine
-
- Gastroenterology Physician
- Phila, PA
- NPI 1205898723
-
- Rehabilitation Hospital Unit
- Philadelphia, PA
- NPI 1033129606
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1215916002
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418169600000",
"number": "1124049812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "833 CHESTNUT ST",
"address_2": "SUITE 220",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191074414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "833 CHESTNUT ST",
"address_2": "SUITE 220",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191074414",
"telephone_number": "215-955-8465",
"fax_number": "215-955-2516"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAINE",
"first_name": "CHRISTINE",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-21",
"last_updated": "2014-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD047292L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7710607",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001285291",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2014; 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.