Individual provider Active NPI

Christopher Swenson Wahlberg, M.D.

  • Emergency Medicine Physician
  • Austin, TX
National Provider Identifier
1245252139
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
G5742 Issued in TX
Practice address
11600 Crumley Ranch Rd
Austin, TX 78738-6334
Phone
(512) 263-1941
NPI assigned
Jul 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X G5742 TX Primary

Addresses

Primary practice location

11600 Crumley Ranch Rd
Austin, TX 78738-6334

Mailing address

11600 Crumley Ranch Rd
Austin, TX 78738-6334
Phone (512) 263-1941

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140414001689 TX Order and Referring Only - Family PracticePractitioner - Family Practice 6204726698

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Canadian River Emergency Physicians PLLC Emergency Medicine Past Accepting new patients
Bellville Hospital District Emergency Medicine Past Accepting new patients
Texas Emergency Room Services PA Emergency Medicine Past Accepting new patients

Organizations & group practices 3

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": "1153612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245252139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11600 CRUMLEY RANCH RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787386334",
            "telephone_number": "512-263-1941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11600 CRUMLEY RANCH RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787386334",
            "telephone_number": "512-263-1941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAHLBERG",
        "first_name": "CHRISTOPHER",
        "middle_name": "SWENSON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "G5742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.