Active NPI
Aaron B Christianson, PA-C
- Physician Assistant
- Riverton, IL
National Provider Identifier
1245867837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 085.007797
- Practice address
- 620 E Menard St
Riverton, IL 62561-9770 - Phone
- (217) 553-4507
- NPI assigned
- Mar 24, 2020
- Last updated
- Jul 16, 2020
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 085.007797 | IL | Primary |
Addresses
Primary practice location
620 E Menard St
Riverton, IL 62561-9770
Mailing address
620 E Menard St
Riverton, IL 62561
Phone (217) 553-4507
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594857600000",
"number": "1245867837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "620 E MENARD ST",
"city": "RIVERTON",
"state": "IL",
"postal_code": "62561",
"telephone_number": "217-553-4507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 E MENARD ST",
"city": "RIVERTON",
"state": "IL",
"postal_code": "625619770",
"telephone_number": "217-553-4507"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHRISTIANSON",
"first_name": "AARON",
"middle_name": "B",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-03-24",
"last_updated": "2020-07-16",
"certification_date": "2020-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IL",
"license": "085.007797",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Riverton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.