Individual provider Active NPI

Donna-Marie E Christie, M.D.

  • Internal Medicine Physician
  • Granby, CT
National Provider Identifier
1124075874
Registry record updated Jan 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
044081 Issued in CT
Practice address
18 East Granby Rd
Granby, CT 06035-2201
Phone
(860) 653-7261
Fax
(860) 653-6639
NPI assigned
May 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 223127 MA
Internal Medicine Physician 207R00000X 044081 CT Primary

Addresses

Primary practice location

18 East Granby Rd
Granby, CT 06035-2201

Mailing address

2110 Silas Deane Hwy
Rocky Hill, CT 06067-2313
Phone (860) 258-3470

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 and National Provider Directory roles.

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060712000119 CT Practitioner - Internal Medicine 6204805641 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
044081CTMDInternal Medicine Physician
223127MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Starling Physicians PLLC CurrentSince Jul 1, 2006 Accepting new patients
Starling Physicians, PLLC Internal Medicine CurrentSince Jul 1, 2006 Accepting new patients
Baystate Medical Practices, Inc Internal Medicine Past Accepting new patients
Starling Physicians, PLLC Past Accepting new patients
Baystate Affiliated Practice Organization Internal Medicine Past Accepting new patients

Locations

100 Simsbury Rd
Avon, CT 06001
Phone (860) 659-8830

18 E Granby Rd
Fl 1
Granby, CT 06035
Phone (860) 653-7261

18 E Granby Rd
Granby, CT 06035
Phone (860) 653-2301

2110 Silas Deane Hwy
Rocky Hill, CT 06067

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390521600000",
    "number": "1124075874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 SILAS DEANE HWY",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060672313",
            "telephone_number": "860-258-3470",
            "fax_number": "860-571-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 EAST GRANBY RD",
            "city": "GRANBY",
            "state": "CT",
            "postal_code": "060352201",
            "telephone_number": "860-653-7261",
            "fax_number": "860-653-6639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTIE",
        "first_name": "DONNA-MARIE",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-28",
        "last_updated": "2014-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "223127",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "044081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Granby, CT

Sources for this page

Verify at the official NPI Registry.