NPIMap

Individual provider Active NPI

Christina Chan, DO

  • Internal Medicine Physician
  • Columbus, OH
National Provider Identifier
1245527118
Registry record updated Apr 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
UNKNOWN Issued in OH
Practice address
4310 Clime Rd
Suite B
Columbus, OH 43228-3496
Phone
(614) 274-7799
NPI assigned
Jun 29, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X UNKNOWN OH Primary

Addresses

Primary practice location

4310 Clime Rd
Suite B
Columbus, OH 43228-3496

Mailing address

4310 Clime Rd
Suite B
Columbus, OH 43228-3496

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cchan2@mchs.com Direct

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
I20141028003037 OH Practitioner - Internal Medicine 0042461980 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Ohio University, College of Osteopathic Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mount Carmel Healthproviders IncGroup PAC ID 9537073804, 140 clinicians

Practice addresses (Care Compare)

55 N High St
New Albany, OH 43054-7099
Phone (614) 627-1878

5775 Perimeter Dr
Suite 100
Dublin, OH 43017-3269
Phone (614) 627-2720

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
UNKNOWNOHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Carmel Healthproviders Inc Internal Medicine CurrentSince Sep 1, 2014 Accepting new patients
Mount Carmel Health Providers Inc CurrentSince Sep 1, 2014 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

4310 Clime Rd
Ste B
Columbus, OH 43228
Phone (614) 274-7799

6150 E Broad St
Columbus, OH 43213
Phone (614) 546-4400

5775 Perimeter Dr
Ste 100
Dublin, OH 43017
Phone (614) 627-2720

55 N High St
New Albany, OH 43054
Phone (614) 627-1878

Interoperability endpoints

  • Direct secure messaging: cchan1157894@direct.trinity-health.org

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.

Hospital & facility affiliations 5

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": "1309305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649376000000",
    "number": "1245527118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4310 CLIME RD",
            "address_2": "SUITE B",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432283496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4310 CLIME RD",
            "address_2": "SUITE B",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432283496",
            "telephone_number": "614-274-7799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "CHRISTINA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-29",
        "last_updated": "2022-04-08",
        "certification_date": "2022-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "UNKNOWN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cchan2@mchs.com",
            "affiliation": "N",
            "endpointDescription": "Mount Carmel Health Columbus Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "4310 Clime Rd",
            "address_2": "Suite B",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432283496",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.