Individual provider Active NPI

Christoph T Woerlein, MD

  • Gastroenterology Physician
  • St George, UT
National Provider Identifier
1255370771
Registry record updated Jun 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
10939 Issued in MT
Practice address
368 E Riverside Dr
St George, UT 84790-6896
Phone
(435) 673-1149
NPI assigned
Jun 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 10939 MT Primary

Addresses

Primary practice location

368 E Riverside Dr
St George, UT 84790-6896

Mailing address

6360 S 3000 E
#220
Salt Lake City, UT 84121-6923

Other identifiers 1

IdentifierTypeStateIssuer
0145996MedicaidMT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150501000144 UT Practitioner - Gastroenterology 0042276420 Reassigns benefits to 1 organization
I20231114001638 TX Practitioner - Gastroenterology 0042276420 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texarkana Gastroenterology Consultants, PAGroup PAC ID 0345212817, 18 clinicians

Practice addresses (Care Compare)

1920 Moores LN
Suite a
Texarkana, TX 75503-4660
Phone 90379280302080

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy181
Upper gastrointestinal (GI) endoscopy for acid reflux402

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10939MTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services, Inc. CurrentSince Apr 30, 2018 Accepting new patients
Ihc Health Services Inc CurrentSince Apr 30, 2018 Accepting new patients
Ihc Health Services Inc Current Accepting new patients
Texarkana Gastroenterology Consultants, PA CurrentSince Oct 4, 2023 Accepting new patients
Lane Gastroenterology Associates PC Gastroenterology Past Accepting new patients

Locations

1920 Moores Ln
Ste A
Texarkana, TX 75503
Phone (903) 792-8030

1920 Moores Ln
Texarkana, TX 75503
Phone (903) 791-8657

1303 N Main St
Cedar City, UT 84721
Phone (435) 586-2229

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

1380 E Medical Center Dr
Ste 4100
St George, UT 84790
Phone (435) 251-2900

652 S Medical Center Dr
Ste 330
St George, UT 84790
Phone (435) 251-3800

Interoperability endpoints

  • FHIR API: https://ab0ad0d3-1a1d-47a7-80b0-c0bd276b844e.gastro.prod.fhir.ema-api.com/fhir/r4/

Organizations & group practices 5

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 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": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433808000000",
    "number": "1255370771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6360 S 3000 E",
            "address_2": "#220",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841216923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "368 E RIVERSIDE DR",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847906896",
            "telephone_number": "435-673-1149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOERLEIN",
        "first_name": "CHRISTOPH",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2015-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MT",
            "license": "10939",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0145996",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St George, UT

Sources for this page

Verify at the official NPI Registry.