Individual provider Active NPI

Christine A Gieszl, MD

  • Internal Medicine Physician
  • Montrose, CO
National Provider Identifier
1336199066
Registry record updated May 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
44314 Issued in CO
Practice address
300 S Nevada Avenue
Montrose, CO 81401
Phone
(970) 249-7751
Fax
(970) 249-5029
NPI assigned
May 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 44314 CO Primary

Addresses

Primary practice location

300 S Nevada Avenue
Montrose, CO 81401

Mailing address

300 S Nevada Avenue
Montrose, CO 81401
Phone (970) 249-7751

Other identifiers 2

IdentifierTypeStateIssuer
11824867MedicaidCO
C807114OtherCOMONTROSE MEMORIAL HOSPITAL MEDICARE PIN

Other names 1

  • Christine A Jefferis Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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

Enrollment IDStateProvider typePAC IDDetails
I20140614000026 CO Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 5890707681

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210291200000",
    "number": "1336199066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S NEVADA AVENUE",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "81401",
            "telephone_number": "970-249-7751",
            "fax_number": "970-249-5029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S NEVADA AVENUE",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "81401",
            "telephone_number": "970-249-7751",
            "fax_number": "970-249-5029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIESZL",
        "first_name": "CHRISTINE",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-11",
        "last_updated": "2008-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "44314",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11824867",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MONTROSE MEMORIAL HOSPITAL MEDICARE PIN",
            "identifier": "C807114",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "JEFFERIS",
            "middle_name": "A",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Montrose, CO

Sources for this page

Verify at the official NPI Registry.