Individual provider Active NPI

Christienne F Coates, MD

  • Ophthalmology Physician
  • Greenwich, CT
National Provider Identifier
1215937800
Registry record updated Nov 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
043126 Issued in CT
Practice address
4 Dearfield Dr
Greenwich, CT 06831-5351
Phone
(203) 819-3082
Fax
(203) 869-6453
NPI assigned
Jul 26, 2005
Last updated
Nov 14, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 043126 CT Primary

Addresses

Primary practice location

4 Dearfield Dr
Greenwich, CT 06831-5351

Mailing address

90 Grove St
Ste 105
Ridgefield, CT 06877-4129
Phone (203) 819-3082

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
I20050913000591 CT Practitioner - Ophthalmology 5294799029 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Vermont College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

90 Grove St
Suite 105
Ridgefield, CT 06877-4129
Phone (203) 894-9700

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
043126CTMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ridgefield Ophthalmology, LLC Ophthalmology CurrentSince Nov 1, 2009 Accepting new patients
Manhattan Eye Ear and Throat Hospital Past Accepting new patients

Locations

90 Grove St
Ste 105
Ridgefield, CT 06877
Phone (203) 431-8471

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542153600000",
    "number": "1215937800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 GROVE ST",
            "address_2": "STE 105",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "068774129",
            "telephone_number": "203-819-3082",
            "fax_number": "203-869-6453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 DEARFIELD DR",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068315351",
            "telephone_number": "203-819-3082",
            "fax_number": "203-869-6453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COATES",
        "first_name": "CHRISTIENNE",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-26",
        "last_updated": "2018-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CT",
            "license": "043126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwich, CT

Sources for this page

Verify at the official NPI Registry.