Christopher Carson Jeffries, M.D.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

4301080398 Issued in MI

Practice address

4110 Copper Ridge Dr
Suite 242
Traverse City, MI 49684-6722

Phone

(231) 929-7700

Fax

(231) 929-7709

NPI assigned

May 21, 2008

Last updated

Mar 1, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

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 1

Specialty

Plastic and Reconstructive Surgery

Education

Wayne State University School of Medicine, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Center for Plastic Surgery of Northern MichiganGroup PAC ID 7113935933, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Munson Medical Center Hospital, Traverse City, MI, CCN 230097

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Center for Plastic Surgery of Northern Michigan

  dba Steven V Thomas MD and Associates PC

  • Specialist
  • Traverse City, MI
  • NPI 1356563654
  Medicare reassignment Care Compare group Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Munson Medical Center

  • General Acute Care Hospital
  • Traverse City, MI
  • NPI 1952307852
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551398400000",
    "number": "1306003819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4110 COPPER RIDGE DR",
            "address_2": "SUITE 242",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496846722",
            "telephone_number": "231-929-7700",
            "fax_number": "231-929-7709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4110 COPPER RIDGE DR",
            "address_2": "SUITE 242",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496846722",
            "telephone_number": "231-929-7700",
            "fax_number": "231-929-7709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFRIES",
        "first_name": "CHRISTOPHER",
        "middle_name": "CARSON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-21",
        "last_updated": "2019-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MI",
            "license": "4301080398",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "MI",
            "license": "4301080398",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "2402811442",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1306003819",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jason Buttleman DC PLLC
• Jason L. Mantey DDS PLLC
• Jay a Klein DO PLLC
• Jay H Jones MD PC
• Jeffrey K Shaw DC PLLC
• Peter J Jenema, D.C.
• Hannah Lynn Jenkins
• Elizabeth Jerichow
• Jessica Horness LLC
• Jill Dillon Nuffer, SLP, LLC

• Plastic Surgery Physician in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Plastic Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2019; 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.

Verify at the official NPI Registry.