Active NPI
Ronnie S. Christian, MD, P. C.
- Diagnostic Radiology Physician
- Kosciusko, MS
National Provider Identifier
1154505659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 06391
- Legal business name
- RONNIE S. CHRISTIAN, MD, P. C.
- Practice address
- 332 Highway 12 W
Kosciusko, MS 39090-3209 - Phone
- (662) 289-1800
- Fax
- (662) 289-2486
- NPI assigned
- Dec 20, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ronnie S Christian, MD
- Title
- Owner
- Phone
- (601) 956-8986
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 06391 | MS | Primary |
Addresses
Primary practice location
332 Highway 12 W
Kosciusko, MS 39090-3209
Mailing address
234 Honours Dr
Madison, MS 39110-6514
Phone (601) 956-8986
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09016103 | Medicaid | MS |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198108800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1198108800000",
"number": "1154505659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "234 HONOURS DR",
"city": "MADISON",
"state": "MS",
"postal_code": "391106514",
"telephone_number": "601-956-8986",
"fax_number": "662-289-2486"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "332 HIGHWAY 12 W",
"city": "KOSCIUSKO",
"state": "MS",
"postal_code": "390903209",
"telephone_number": "662-289-1800",
"fax_number": "662-289-2486"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RONNIE S. CHRISTIAN, MD, P. C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-20",
"last_updated": "2007-12-20",
"status": "A",
"authorized_official_last_name": "CHRISTIAN",
"authorized_official_first_name": "RONNIE",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "601-956-8986",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": "MS",
"license": "06391",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "09016103",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kosciusko, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.