Christian John Den Ouden, M.D.
Individual provider Active NPI Emergency Medicine Physician · Oak Lawn, IL
NPI 1336304518 · NPPES record last updated Sep 13, 2011
Key facts
- NPI
- 1336304518
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 036128082 (IL)
- Practice address
- 4440 W 95TH St
Oak Lawn, IL 60453-2600 - Phone
- (708) 684-5375
- Fax
- (708) 684-1028
- NPI assigned
- Jul 27, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- University of Iowa, RJ & L Carver College of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Emergi-Trust
Practice addresses (Care Compare)
4321 Carothers Pkwy
Franklin, TN 37067-5909
Phone (781) 280-1640
Hospital & facility affiliations
- Williamson Medical Center
- Tristar Centennial Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- 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 |
|---|---|---|---|---|
| I20200724002122 | TN | Practitioner - Emergency Medicine | 7618145061 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Medicine Services of TN, PC | Emergency Medicine | Current |
Accepting new patients |
| Emergi-Trust | Emergency Medicine | Current |
Accepting new patients |
Locations
4321 Carothers Pkwy
Franklin, TN 37067
Phone (615) 435-5000
2300 Patterson St
Nashville, TN 37203
Phone (615) 342-1500
391 Wallace Rd
Nashville, TN 37211
Phone (615) 332-6253
3001 Reserve Blvd
Spring Hill, TN 37174
Phone (931) 489-1100
Interoperability endpoints
- cdenoudenmd322938@carlehiedirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 036128082 | IL | Yes |
Addresses
Primary practice location
4440 W 95TH St
Oak Lawn, IL 60453-2600
Mailing address
4440 W 95TH St
Oak Lawn, IL 60453-2600
Phone (319) 331-7724
Other providers in Oak Lawn, IL
- Arturo Deleon Jr.
- Anabel Delgado
- Elia Jazmin Delgado
- Marcial Delid
- Steve Delis
- Dennis J Dwyer DDS PC
- Michael Dennison
- Dermatology Center Associates SC
- William Derose
- Janhavi Desai
All providers in Oak Lawn, IL · Emergency Medicine 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 Sep 13, 2011. 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.