Active NPI
Christopher MD & Associates, PA
- Family Medicine Physician
- Crestview, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- CHRISTOPHER MD & ASSOCIATES, PA
- Practice address
- 131 E Redstone Ave
Suite 107
Crestview, FL 32539-5326 - Phone
- (850) 682-6320
- Fax
- (850) 682-6339
- NPI assigned
- Mar 15, 2007
- Last updated
- Sep 15, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Indumathi Christopher, MD
- Title
- Physician
- Phone
- (850) 682-6320
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary |
Addresses
Primary practice location
131 E Redstone Ave
Suite 107
Crestview, FL 32539-5326
Mailing address
131 E Redstone Ave
Suite 107
Crestview, FL 32539-5326
Phone (850) 682-6320
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7689404 | Other | FL | AETNA PROVIDER NUMBER |
| 1431330005 | Other | FL | CIGNA PROVIDER NUMBER |
| 274400700 | Medicaid | FL | |
| 2012340 | Other | FL | FIRST HEALTH NUMBER |
| 2236414005 | Other | FL | UNITED HEALTHCARE NUMBER |
| 31703 | Other | FL | BCBS PROVIDER NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D1049356 | Christopher MD and Associates PA | Certificate of waiver | Jan 3, 2028 |
National Provider Directory
National Provider DirectoryLocations
131 E Redstone Ave
Ste 107
Crestview, FL 32539
Phone (850) 682-4888
601 N Pearl St
Crestview, FL 32536
Phone (850) 689-7851
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DHBJAA
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Geriatric Medicine (Family Medicine) Physician
- Crestview, FL
- NPI 1467453613
-
- Family Nurse Practitioner
- Crestview, FL
- NPI 1487333613
-
- Primary Care Nurse Practitioner
- Crestview, FL
- NPI 1942758446
-
- Foot & Ankle Surgery Podiatrist
- Pensacola, FL
- NPI 1679851208
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1663200000000",
"number": "1396879185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "131 E REDSTONE AVE",
"address_2": "SUITE 107",
"city": "CRESTVIEW",
"state": "FL",
"postal_code": "325395326",
"telephone_number": "850-682-6320",
"fax_number": "850-682-6339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "131 E REDSTONE AVE",
"address_2": "SUITE 107",
"city": "CRESTVIEW",
"state": "FL",
"postal_code": "325395326",
"telephone_number": "850-682-6320",
"fax_number": "850-682-6339"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHRISTOPHER MD & ASSOCIATES, PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-15",
"last_updated": "2022-09-15",
"certification_date": "2022-09-15",
"status": "A",
"authorized_official_last_name": "CHRISTOPHER",
"authorized_official_first_name": "INDUMATHI",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "850-682-6320",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PROVIDER NUMBER",
"identifier": "7689404",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA PROVIDER NUMBER",
"identifier": "1431330005",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "274400700",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH NUMBER",
"identifier": "2012340",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE NUMBER",
"identifier": "2236414005",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER NUMBER",
"identifier": "31703",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Crestview, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.