Christina L Midkiff, M.D.
Individual provider Active NPI Gynecology Physician · Maryville, IL
NPI 1306825856 · NPPES record last updated Oct 15, 2024
Key facts
- NPI
- 1306825856
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Gynecology Physician 207VG0400X
- License
- 036097885 (IL)
- Practice address
- 2023 Vadalabene Dr
Ste 200
Maryville, IL 62062-5631 - Phone
- (618) 288-7408
- Fax
- (618) 288-7418
- NPI assigned
- Jan 12, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Obstetrics/Gynecology
- Education
- Saint Louis University School of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2023 Vadalabene Dr
Suite 200
Maryville, IL 62062-5636
Phone 6182887408231
Hospital & facility affiliations
- Anderson Hospital
- HSHS St Elizabeth'S Hospital
- Memorial Hospital
- Community Hospital of Staunton
- St Joseph'S Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070111000498 | IL | Practitioner - Obstetrics/Gynecology | 8224038484 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036097885 | IL | MD | Obstetrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christina L Midkiff MD SC | Current |
Accepting new patients |
Locations
2023 Vadalabene Dr
Ste 200
Maryville, IL 62062
Phone (618) 288-7408
734 Cambridge Blvd
#200
O Fallon, IL 62269
734 Cambridge Blvd
O Fallon, IL 62269
Phone (618) 622-6196
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 036097885 | IL | Yes |
| Obstetrics Physician | 207VX0000X | 036097885 | IL | |
| Obstetrics & Gynecology Physician | 207V00000X | 036097885 | IL |
Addresses
Primary practice location
2023 Vadalabene Dr
Ste 200
Maryville, IL 62062-5631
Mailing address
2023 Vadalabene Dr
Ste 200
Maryville, IL 62062-5631
Phone (618) 288-7408
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 115738 | Other | MO | BLUE CROSS MISSOURI |
| 205854306 | Other | IL | TRICARE |
| 387145 | Other | IL | HEALTHLINK |
| 6032205 | Other | IL | BLUE CROSS OF ILLINOIS |
| 036097885 | Medicaid | IL | |
| 205854306 | Other | IL | UNITED HEALTHCARE |
| 214530 | Other | IL | MEDICARE GROUP NUMBER |
| 296498 | Other | IL | GHP |
| 205854306 | Other | IL | CIGNA |
| 253075 | Other | IL | HARMONY |
| P00399401 | Other | IL | RAILROAD MEDICARE |
| 5861603 | Other | IL | AETNA |
Other providers in Maryville, IL
- Heather Rae Merkle
- Natalie Messina
- Metro East Healthcare Limited
- Metro East Medical Transport, Inc
- Sunny Mickey
- Midwest Acute Care Consultants PC
- Midwest Emergency Services Inc
- Midwest Inpatient Anderson Health, Inc
- Midwestern Psychological Consultants
- Millennium Anesthesiology Consultants, LLC
All providers in Maryville, IL · Gynecology Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 15, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.