Active NPI
Christine R. Dunbar, PA-C
- Surgical Physician Assistant
- Waterbury, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 000989
- Practice address
- 1211 W Main St
Waterbury, CT 06708-3106 - Phone
- (203) 755-0163
- NPI assigned
- May 4, 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 |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 000989 | CT | Primary |
Addresses
Primary practice location
1211 W Main St
Waterbury, CT 06708-3106
Mailing address
1211 West Main Street
Waterbury, CT 06708-3346
Phone (203) 755-0163
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 357229 | Other | CT | WELLCARE |
| 26-33542 | Other | CT | AMERICHOICE |
| 26-33542 | Other | CT | UHC |
| 2V9573 | Other | CT | HEALTHNET/COMMERCIAL |
| 7061719 | Other | CT | AETNA |
| 1064653 | Other | CT | USA |
| 98900 | Other | CT | CONNECTICARE |
| P00359922 | Other | CT | RR MEDICARE |
| 008009482 | Medicaid | CT | |
| P3412840 | Other | CT | OXFORD |
| 290000989CT03 | Other | CT | ANTHEM BCBS CT |
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: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061103000403 | CT | Practitioner - Physician Assistant | 9830196880 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- University of Oklahoma College of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Waterbury Orthopaedic Associates P C
Practice addresses (Care Compare)
1211 W Main St
Waterbury, CT 06708-3106
Phone (203) 755-0163
1211 W Main St
Waterbury, CT 06708-3178
Hospital & facility affiliations
- Waterbury Hospital
- Saint Mary'S Hospital
- Midstate Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000989 | CT | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopaedic & Neurosurgery Specialists, PLLC | Current | Accepting new patients | |
| Waterbury Hospital | Past | Accepting new patients | |
| Franklin Medical Group, PC | Past | Accepting new patients |
Locations
6 Greenwich Office Park
Greenwich, CT 06831
Phone (203) 869-1145
512 Saybrook Rd
Ste 100
Middletown, CT 06457
Phone (860) 704-6021
Interoperability endpoints
- tdunbar@woa1842.srs-direct.com
- cdunbar@direct.wtbyhosp.org
Organizations & group practices 6
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.
-
- Orthopaedic Surgery Physician
- Greenwich, CT
- NPI 1033318720
CT
-
- Internal Medicine Physician
- Hartford, CT
- NPI 1003882812
CT
-
- Internal Medicine Physician
- Waterbury, CT
- NPI 1780686964
-
- General Acute Care Hospital
- Waterbury, CT
- NPI 1184615114
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605657600000",
"number": "1194773358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1211 WEST MAIN STREET",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067083346",
"telephone_number": "203-755-0163"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1211 W MAIN ST",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067083106",
"telephone_number": "203-755-0163"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNBAR",
"first_name": "CHRISTINE",
"middle_name": "R.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-04",
"last_updated": "2020-11-18",
"certification_date": "2020-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "CT",
"license": "000989",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "357229",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICHOICE",
"identifier": "26-33542",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "26-33542",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET/COMMERCIAL",
"identifier": "2V9573",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7061719",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "USA",
"identifier": "1064653",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE",
"identifier": "98900",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00359922",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008009482",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P3412840",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS CT",
"identifier": "290000989CT03",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waterbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2020; 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.