Christopher Timothy Whiting, MD
Individual provider Active NPI Family Medicine Physician · Aurora, MN
NPI 1366549495 · NPPES record last updated Jul 9, 2019
Key facts
- NPI
- 1366549495
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 33663 (MN)
- Practice address
- 5211 Highway 110
Aurora, MN 55705-1522 - Phone
- (218) 229-3311
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 6
Owned or controlled facilities with NPI records 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Minnesota Medical School, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Polinsky Medical Rehabilitation Center
Northern Pines Medical Center
Practice addresses (Care Compare)
1600 Miller Trunk Hwy
BLDG C
Duluth, MN 55811-5640
Phone (218) 786-5360
5211 Hwy 110
Aurora, MN 55705-1522
Phone (218) 229-3311
Hospital & facility affiliations
- Aveanna Home Health
- Spectrum Community Health Inc
- Essentia Health Northern Pines Medical Center
- Essentia Health Virginia
- Essentia Health Northern Pines Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Essentia Health Northern Pines Care Center |
Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Jan 1, 2024 Jan 1, 2024 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070122000071 | MN | Practitioner - Family Practice |
6204873250 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33663 | MN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Pines Medical Center | Current |
Accepting new patients | |
| The Duluth Clinic LTD | Current | Accepting new patients | |
| The Duluth Clinic, LTD. | Current |
Accepting new patients | |
| Northern Pines Medical Center | Current |
Accepting new patients | |
| The Duluth Clinic, LTD | Current |
Accepting new patients | |
| Northern Pines Medical Center | Past | Accepting new patients |
Locations
405 W 3rd Ave N
Aurora, MN 55705
Phone (218) 229-3311
5211 Highway 110
Aurora, MN 55705
Phone (218) 229-1010
400 E 3rd St
Duluth, MN 55805
Phone (218) 722-8364
603 9th St N
Virginia, MN 55792
Phone (218) 741-3013
910 N 6th Ave
Virginia, MN 55792
Phone (218) 741-0150
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 33663 | MN | Yes |
Addresses
Primary practice location
5211 Highway 110
Aurora, MN 55705-1522
Mailing address
400 E 3Rd St
Duluth, MN 55805-1951
Phone (218) 786-8364
Other providers in Aurora, MN
- The Duluth Clinic, LTD
- United Telecare Inc.
- Vision Pro
- Ann Marie Westbrook Vreeland
- Becky Jo Wahlberg
All providers in Aurora, MN · Family Medicine Physician in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2019. 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.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- 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.