NPIMap

Individual provider Active NPI

Christopher Ward Juergens, MD

  • Surgery Physician
  • Fairfield, OH
National Provider Identifier
1225026412
Registry record updated Apr 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
35.068899 Issued in OH
Practice address
2960 Mack Rd
Ste. 205
Fairfield, OH 45014-5373
Phone
(513) 924-8895
Fax
(513) 924-8910
NPI assigned
Oct 11, 2005
Last updated
Apr 14, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 35.068899 OH Primary

Addresses

Primary practice location

2960 Mack Rd
Ste. 205
Fairfield, OH 45014-5373

Mailing address

3050 Mack Rd
Ste 310
Fairfield, OH 45014-5376
Phone (513) 924-8895

Other identifiers 1

IdentifierTypeStateIssuer
2014653MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071211000317 OH Practitioner - General Surgery 7315036555 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Cincinnati College of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3050 Mack Rd
Suite 310
Fairfield, OH 45014-5376
Phone (513) 924-8895

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)18
Upper gastrointestinal (GI) endoscopy for acid reflux14
Melanoma (skin cancer) excision1-10
Removal of tissue13

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.068899OHMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Cincinnati Specialty Care LLC Surgery CurrentSince Sep 1, 2021 Accepting new patients
Mercy Health Physicians Cincinnati, LLC Surgery CurrentSince Feb 1, 2013 Accepting new patients
Mercy Health Physicians Cincinnati Specialty Care LLC CurrentSince Sep 1, 2021 Accepting new patients
Mercy Health Physicians Cincinnati LLC CurrentSince Feb 1, 2013 Accepting new patients
Surgical Consultants of Cincinnati, Inc. Surgery Past Accepting new patients
Mercy Health - Fairfield Hospital LLC Past Accepting new patients
Queen City General & Vascular Surgeons Group LTD Surgery Past Accepting new patients

Locations

1701 Mercy Health Pl
Cincinnati, OH 45237
Phone (513) 952-5000

2446 Kipling Ave
Cincinnati, OH 45239
Phone (513) 583-8500

4415 Aicholtz Rd
Cincinnati, OH 45245
Phone (513) 732-9300

2960 Mack Rd
Ste 205
Fairfield, OH 45014
Phone (513) 825-5454

2960 Mack Rd
Ste 208
Fairfield, OH 45014
Phone (513) 860-5200

3050 Mack Rd
Ste 310
Fairfield, OH 45014
Phone (513) 924-8895

201 Old Bank Rd
Ste 103
Milford, OH 45150
Phone (513) 248-0100

Interoperability endpoints

  • Direct secure messaging: cjuergens10480@direct.bsmhealth.org

Organizations & group practices 7

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.

Hospital & facility affiliations 3

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": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586822400000",
    "number": "1225026412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 MACK RD",
            "address_2": "STE 310",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450145376",
            "telephone_number": "513-924-8895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2960 MACK RD",
            "address_2": "STE. 205",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450145373",
            "telephone_number": "513-924-8895",
            "fax_number": "513-924-8910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUERGENS",
        "first_name": "CHRISTOPHER",
        "middle_name": "WARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2020-04-14",
        "certification_date": "2020-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "35.068899",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2014653",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, OH

Sources for this page

Verify at the official NPI Registry.