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Individual provider Active NPI

Christopher G Palmer, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Dubuque, IA
National Provider Identifier
1366434078
Registry record updated Jun 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
MD30479 Issued in TN
Practice address
4005 Westmark Dr
Suite 200
Dubuque, IA 52002-2271
Phone
(563) 582-6202
Fax
(563) 582-5909
NPI assigned
Aug 18, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 17684 AL
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 17684 AL
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X MD30479 TN Primary

Addresses

Primary practice location

4005 Westmark Dr
Suite 200
Dubuque, IA 52002-2271

Mailing address

350 N Grandview
Attn: Laurie Fishnick
Dubuque, IA 52001-6388
Phone (563) 589-2612

Other identifiers 4

IdentifierTypeStateIssuer
515-41353OtherALBC BS OF AL
51541353OtherBCBS OF ALABAMA
009910457MedicaidAL
D09910457MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, MS, LA3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20041007000229 AL Practitioner - Orthopedic Surgery 0244299014 Reassigns benefits to 1 organization
I20221128000136 MS Practitioner - Orthopedic Surgery 0244299014 Reassigns benefits to 1 organization
I20230626001685 LA Practitioner - Orthopedic Surgery 0244299014 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Alabama School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ochsner Mississippi, LLCGroup PAC ID 0143580993, 98 clinicians
Ochsner Clinic LLCGroup PAC ID 8224933619, 2,845 clinicians

Practice addresses (Care Compare)

149 Drinkwater Rd
Bay Saint Louis, MS 39520-1658
Phone (504) 842-4431

1514 Jefferson Hwy
New Orleans, LA 70121-2429
Phone (504) 842-3000

Hospital & facility affiliations

  • Mississippi Homecare of Picayune Home health agency, Picayune, MS, CCN 257141
  • Deaconess Homecare- Region I Home health agency, Laurel, MS, CCN 257085
  • Ochsner Medical Center-Hancock Hospital, Bay Saint Louis, MS, CCN 250162
  • Ochsner Medical Center Acute Hospital, New Orleans, LA, CCN 190036
  • Slidell Memorial Hospital Hospital, Slidell, LA, CCN 190040
  • Memorial Hospital at Gulfport Hospital, Gulfport, MS, CCN 250019

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement18
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17684ALMDPharmacist
MD30479TNMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince May 1, 2023 Accepting new patients
Ochsner Clinic LLC CurrentSince May 1, 2023 Accepting new patients
Ochsner Mississippi, LLC Current Accepting new patients
Ochsner Mississippi, LLC CurrentSince Sep 19, 2022 Accepting new patients
Signify Health, LLC CurrentSince May 20, 2024 Accepting new patients
Ochsner Mississippi, LLC CurrentSince Sep 19, 2022 Accepting new patients
Wythe County Physician Practices LLC Past Accepting new patients
HH Health System - the Orthopaedic Center, LLC Orthopaedic Surgery PastSince Aug 13, 2023 Accepting new patients
The Orthopaedic Center Orthopaedic Surgery PastSince Nov 22, 2004 Accepting new patients
Fort Payne MRI LLC PastSince Apr 30, 2003 Accepting new patients
Fort Payne Clinic Corp. Orthopaedic Surgery Past Accepting new patients

Locations

4000 Eagle Point Corporate Dr
Birmingham, AL 35242
Phone (205) 317-0280

1514 Jefferson Hwy
New Orleans, LA 70121

149 Drinkwater Rd
Bay St Louis, MS 39520
Phone (228) 467-8600

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • Direct secure messaging: cpalmer1650096@direct.ochsner.org
  • FHIR API: https://fhir-myrecord.cerner.com/r4/fca878a1-6c97-4ecb-b6e7-eb5d7cde15ab/

Organizations & group practices 11

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.

Hospital & facility affiliations 65

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

View all 65

NPI Registry JSON

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464825600000",
    "number": "1366434078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 N GRANDVIEW",
            "address_2": "ATTN: LAURIE FISHNICK",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520016388",
            "telephone_number": "563-589-2612",
            "fax_number": "563-589-2648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4005 WESTMARK DR",
            "address_2": "SUITE 200",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520022271",
            "telephone_number": "563-582-6202",
            "fax_number": "563-582-5909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "CHRISTOPHER",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-18",
        "last_updated": "2016-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AL",
            "license": "17684",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "AL",
            "license": "17684",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "TN",
            "license": "MD30479",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS OF AL",
            "identifier": "515-41353",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ALABAMA",
            "identifier": "51541353",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009910457",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D09910457",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dubuque, IA

Sources for this page

Verify at the official NPI Registry.