Christina J Manders, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

49798 Issued in MN

Practice address

5725 Loftus Lane
Savage, MN 55378-2717

Phone

(952) 226-2500

Fax

(952) 226-2501

NPI assigned

Mar 30, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cmanders140785@direct.healthpartners.com

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.

• Fairview Clinics

  • Primary Care Clinic/Center
  • Minneapolis, MN
  • NPI 1346432218
  Medicare reassignment NPD
• Fairview Health Services

  • Emergency Medicine Physician
  • Minneapolis, MN
  • NPI 1811077175
  Medicare reassignment
• Fairview Clinics

  • Primary Care Clinic/Center
  • Saint Paul, MN
  • NPI 1396552147
  NPD
• Fairview Clinics

  • Primary Care Clinic/Center
  • Maple Grove, MN
  • NPI 1790977486
  NPD
• Fairview Health Services

  • General Acute Care Hospital
  • Minneapolis, MN
  • NPI 1013994359
  NPD
• Fairview Health Services

  • Land Ambulance
  • Saint Paul, MN
  • NPI 1710212485
  NPD

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332806400000",
    "number": "1376663633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5725 LOFTUS LANE",
            "city": "SAVAGE",
            "state": "MN",
            "postal_code": "553782717",
            "telephone_number": "952-226-2500",
            "fax_number": "952-226-9501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5725 LOFTUS LANE",
            "city": "SAVAGE",
            "state": "MN",
            "postal_code": "553782717",
            "telephone_number": "952-226-2500",
            "fax_number": "952-226-2501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDERS",
        "first_name": "CHRISTINA",
        "middle_name": "J",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-30",
        "last_updated": "2012-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "49798",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "926640000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Michael Lyons, OD
• Jee Hyun Lyu, DDS
• Medhat Mohamed Mahmoud Hussein, D.D.S
• Sharon Beth Mahowald-Horner, PSYD
• Kristin Eileen Mains, LICSW
• Ravi Kiran Mara, DDS
• Kai Taylor Mason, MA, LADC, LPCC
• Amy Matiak, PHARMD
• Max Well Rehabilitation LLC
• Ceciley Jeanne Maxa, DC

• Family Medicine Physician in Savage, MN
• Providers in Savage, MN by specialty
• Family Medicine Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.