Organization Active NPI

Christie Medical Clinic, Inc

  • Specialist
  • Annapolis, MD
National Provider Identifier
1174673867
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
D0050605 Issued in MD
Legal business name
CHRISTIE MEDICAL CLINIC, INC
Practice address
2661 Riva Rd
Suite 610
Annapolis, MD 21401-7353
Phone
(410) 224-2880
Fax
(410) 224-7828
NPI assigned
Jan 12, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. John Elliott Christie, M.D.NPI 1760529648
Title
Doctor
Phone
(410) 224-2880

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X D0050605 MD Primary

Addresses

Primary practice location

2661 Riva Rd
Suite 610
Annapolis, MD 21401-7353

Mailing address

2661 Riva Rd
Suite 610
Annapolis, MD 21401-7353
Phone (410) 224-2880

Other identifiers 5

IdentifierTypeStateIssuer
793ACHOtherMDBCBS OF MD.
3125734OtherMDMAMSI UNITED HEALTHCARE
496856OtherMDNCPPO UNICARE
J710OtherDCBCBS OF NCA
P00157968OtherMDRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

2661 Riva Rd
Ste 610
Annapolis, MD 21401
Phone (410) 224-2880

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174673867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2661 RIVA RD",
            "address_2": "SUITE 610",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017353",
            "telephone_number": "410-224-2880",
            "fax_number": "410-224-7828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2661 RIVA RD",
            "address_2": "SUITE 610",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017353",
            "telephone_number": "410-224-2880",
            "fax_number": "410-224-7828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIE MEDICAL CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHRISTIE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ELLIOTT",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "410-224-2880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "D0050605",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MD.",
            "identifier": "793ACH",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI  UNITED HEALTHCARE",
            "identifier": "3125734",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPPO UNICARE",
            "identifier": "496856",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NCA",
            "identifier": "J710",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00157968",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.