Individual provider Active NPI

George Chris Christensen III, DO

  • Pulmonary Disease Physician
  • Abington, PA
National Provider Identifier
1386662864
Registry record updated Jan 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
OS005246L Issued in PA
Practice address
1235 Old York Rd
Ste 12-1
Abington, PA 19001-3840
Phone
(215) 517-1200
Fax
(215) 517-1219
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X OS005246L PA
Pulmonary Disease Physician 207RP1001X OS005246L PA Primary

Addresses

Primary practice location

1235 Old York Rd
Ste 12-1
Abington, PA 19001-3840

Mailing address

1235 Old York Rd Ste 121
Abington, PA 19001-3840
Phone (215) 517-1200

Other practice location 1

1235 Old York Rd
Ste 12-1
Abington, PA 19001-3840
Phone (215) 517-1200

Other identifiers 1

IdentifierTypeStateIssuer
0012476930004MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20100913000760 PA Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 8820113905 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS005246LPAMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Amh Medical Staff Service Fund CurrentSince Sep 29, 2010 Accepting new patients
Abington Memorial Hospital Pulmonary Disease CurrentSince Jan 1, 2016 Accepting new patients

Locations

1200 York Rd
Abington, PA 19001
Phone (215) 481-2222

1235 York Rd
Ste 121
Abington, PA 19001
Phone (215) 517-1200

1235 Old York Rd
Ste G121
Abington, PA 19001
Phone (215) 517-1200

2510 Maryland Rd
Ste 200
Willow Grove, PA 19090

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578268800000",
    "number": "1386662864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 OLD YORK RD STE 121",
            "city": "ABINGTON",
            "state": "PA",
            "postal_code": "190013840",
            "telephone_number": "215-517-1200",
            "fax_number": "215-517-1219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 OLD YORK RD",
            "address_2": "STE 12-1",
            "city": "ABINGTON",
            "state": "PA",
            "postal_code": "190013840",
            "telephone_number": "215-517-1200",
            "fax_number": "215-517-1219"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1235 Old York Rd",
            "address_2": "Ste 12-1",
            "address_purpose": "LOCATION",
            "city": "Abington",
            "state": "PA",
            "postal_code": "190013840",
            "country_code": "US",
            "telephone_number": "215-517-1200",
            "fax_number": "215-517-1219",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHRISTENSEN",
        "first_name": "GEORGE",
        "middle_name": "CHRIS",
        "name_suffix": "III",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2020-01-06",
        "certification_date": "2020-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "PA",
            "license": "OS005246L",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "PA",
            "license": "OS005246L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012476930004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Abington, PA

Sources for this page

Verify at the official NPI Registry.