Active NPI
Dawn Stephanie Christopher, MD
- Cardiovascular Disease Physician
- Waldorf, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- D0082004
- Practice address
- 12070 Old Line Ctr
Suite 303
Waldorf, MD 20602-2513 - Phone
- (301) 645-5100
- Fax
- (607) 763-5064
- NPI assigned
- Feb 2, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | 25MA08709500 | NJ | |
| Internal Medicine Physician | 207R00000X | 272726 | NY | |
| Hospitalist Physician | 208M00000X | 272726 | NY | |
| Cardiovascular Disease Physician | 207RC0000X | D0082004 | MD | Primary |
Addresses
Primary practice location
12070 Old Line Ctr
Suite 303
Waldorf, MD 20602-2513
Mailing address
12070 Old Line Ctr
Suite 303
Waldorf, MD 20602-2513
Phone (301) 645-5100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Howard University College of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
8116 Good Luck Rd
Suite 305
Lanham, MD 20706-3508
Phone (301) 552-1200
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA08709500 | NJ | MD | Internal Medicine Physician |
| D0082004 | MD | MD | Cardiovascular Disease Physician |
| 272726 | NY | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Civista Medical Center Inc | Current | Accepting new patients | |
| Civista Medical Center, Inc. | Current | Accepting new patients | |
| Civista Medical Center, Inc. | Current | Accepting new patients | |
| Capitol Cardiology Associates, LLC | Cardiovascular Disease | Current | Accepting new patients |
| Windber Hospital, Inc. | Past | Accepting new patients |
Locations
701 Charles St
La Plata, MD 20646
Phone (301) 609-4000
8116 Good Luck Rd
Ste 305
Lanham, MD 20706
Phone (301) 486-7580
Interoperability endpoints
- dchristopher547935@direct.umm.edu
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.
-
- Rural Acute Care Hospital
- La Plata, MD
- NPI 1992701825
-
- Physical Therapist
- La Plata, MD
- NPI 1689071219
-
- Clinical Medical Laboratory
- La Plata, MD
- NPI 1801461926
-
- General Acute Care Hospital
- Windber, PA
- NPI 1275620536
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lanham, MD
- NPI 1730136532
-
- General Acute Care Hospital
- Washington, DC
- NPI 1548378235
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487808000000",
"number": "1265670046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12070 OLD LINE CTR",
"address_2": "SUITE 303",
"city": "WALDORF",
"state": "MD",
"postal_code": "206022513",
"telephone_number": "301-645-5100",
"fax_number": "607-763-5064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12070 OLD LINE CTR",
"address_2": "SUITE 303",
"city": "WALDORF",
"state": "MD",
"postal_code": "206022513",
"telephone_number": "301-645-5100",
"fax_number": "607-763-5064"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHRISTOPHER",
"first_name": "DAWN",
"middle_name": "STEPHANIE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-02-02",
"last_updated": "2017-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "25MA08709500",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "272726",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NY",
"license": "272726",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MD",
"license": "D0082004",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waldorf, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.