Active NPI
Christopher Blue, MD
- Family Medicine Physician
- Saint Clair Shores, MI
National Provider Identifier
1265637458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4301090403
- Practice address
- 21400 E 11 Mile Rd
Saint Clair Shores, MI 48081-1502 - Phone
- (586) 498-4400
- NPI assigned
- Jun 18, 2007
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4301090403 | MI | Primary |
Addresses
Primary practice location
21400 E 11 Mile Rd
Saint Clair Shores, MI 48081-1502
Mailing address
21400 E 11 Mile Rd
Saint Clair Shores, MI 48081-1502
Phone (586) 498-4400
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301090403 | MI | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1265637458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21400 E 11 MILE RD",
"city": "SAINT CLAIR SHORES",
"state": "MI",
"postal_code": "480811502",
"telephone_number": "586-498-4400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21400 E 11 MILE RD",
"city": "SAINT CLAIR SHORES",
"state": "MI",
"postal_code": "480811502",
"telephone_number": "586-498-4400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLUE",
"first_name": "CHRISTOPHER",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4301090403",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Clair Shores, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.