Individual provider Active NPI

Christopher Seinjen Wharton, PA-C

  • Physician Assistant
  • Yellow Springs, OH
National Provider Identifier
1194376558
Registry record updated Aug 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.006170RX Issued in OH
Practice address
888 Dayton St Unit 200
Yellow Springs, OH 45387-1778
Phone
(937) 767-7291
Fax
(937) 767-1302
NPI assigned
Sep 26, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50.006170RX OH Primary

Addresses

Primary practice location

888 Dayton St Unit 200
Yellow Springs, OH 45387-1778

Mailing address

1 Prestige PL Ste 550
Miamisburg, OH 45342-6115
Phone (937) 762-1310

Other practice location 1

30 Warder St
Springfield, OH 45504-2500
Phone (937) 328-2310

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address cwharton879464@direct.ketteringhealth.org
FHIR URL https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191114001903 OH Practitioner - Physician Assistant 3375975279 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
50.006170RXOHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Physicians Inc CurrentSince Nov 1, 2024 Accepting new patients
Alliance Physicians Inc CurrentSince Nov 1, 2024 Accepting new patients
Beavercreek Medical Center Past Accepting new patients
Greene Memorial Hospital Inc Past Accepting new patients

Locations

1 Prestige Pl
Ste 550
Miamisburg, OH 45342
Phone (937) 752-2306

1625 S Alex Rd
West Carrollton, OH 45449
Phone (937) 865-0534

888 Dayton St
Unit 200
Yellow Springs, OH 45387
Phone (937) 767-7291

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1569456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693267200000",
    "number": "1194376558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PRESTIGE PL STE 550",
            "city": "MIAMISBURG",
            "state": "OH",
            "postal_code": "453426115",
            "telephone_number": "937-762-1310",
            "fax_number": "937-522-8068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 DAYTON ST UNIT 200",
            "city": "YELLOW SPRINGS",
            "state": "OH",
            "postal_code": "453871778",
            "telephone_number": "937-767-7291",
            "fax_number": "937-767-1302"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 Warder St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "OH",
            "postal_code": "455042500",
            "country_code": "US",
            "telephone_number": "937-328-2310",
            "fax_number": "937-328-2303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHARTON",
        "first_name": "CHRISTOPHER",
        "middle_name": "SEINJEN",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-26",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.006170RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cwharton879464@direct.ketteringhealth.org",
            "affiliation": "N",
            "address_1": "888 Dayton St Unit 200",
            "city": "Yellow Springs",
            "state": "OH",
            "country_code": "US",
            "postal_code": "453871778",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/",
            "affiliation": "N",
            "address_1": "888 Dayton St Unit 200",
            "city": "Yellow Springs",
            "state": "OH",
            "country_code": "US",
            "postal_code": "453871778",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Yellow Springs, OH

Sources for this page

Verify at the official NPI Registry.