Active NPI
Christopher Martin Mager, MD
- Diagnostic Radiology Physician
- Green Bay, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 74857-20
- Practice address
- 744 S Webster Ave
Green Bay, WI 54301-3505 - Phone
- (920) 433-3643
- Fax
- (507) 625-3928
- NPI assigned
- Jun 29, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 53947 | MN | |
| Diagnostic Radiology Physician | 2085R0202X | 2012011152 | MO | |
| Diagnostic Radiology Physician | 2085R0202X | 74857-20 | WI | Primary |
Addresses
Primary practice location
744 S Webster Ave
Green Bay, WI 54301-3505
Mailing address
1789 Shawano Ave
Green Bay, WI 54303-3243
Phone (920) 499-1428
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | christophermager@mklt.allscriptsdirect.net | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210517001602 | WI | Practitioner - Diagnostic Radiology | 3678737913 | Reassigns benefits to 2 organizations |
| I20210527001138 | MI | Practitioner - Diagnostic Radiology | 3678737913 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Minnesota Medical School, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Radiology Chartered
Practice addresses (Care Compare)
Marquette, MI 49855
Phone (920) 499-2766
1789 Shawano Ave
Green Bay, WI 54303-3243
Phone (920) 499-1428
Hospital & facility affiliations
- Bellin Memorial Hospital
- Bellin Health Oconto Hospital
- Door County Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2012011152 | MO | MD | Diagnostic Radiology Physician |
| 74857-20 | WI | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bellin Memorial Hospital Inc | Family Medicine | Current | Accepting new patients |
| Bellin Memorial Hospital Inc | Family Medicine | Current | Accepting new patients |
| Radiology Chartered | Diagnostic Radiology | Current | Accepting new patients |
| Bellin Memorial Hospital Inc | Current | Accepting new patients | |
| Bellin Memorial Hospital Inc | Family Medicine | Current | Accepting new patients |
| Bellin Memorial Hospital Inc | Current | Accepting new patients |
Locations
610 S Lincoln Rd
Escanaba, MI 49829
Phone (906) 786-6488
440 Woodward Ave
Iron Mountain, MI 49801
Phone (906) 776-9040
744 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-6025
1789 Shawano Ave
Green Bay, WI 54303
725 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-7995
Organizations & group practices 6
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.
-
- Diagnostic Radiology Physician
- Green Bay, WI
- NPI 1760416895
Diagnostic Radiology, MI, WI
-
- Rural Health Clinic/Center
- Algoma, WI
- NPI 1609838473
Family Medicine, WI
-
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Green Bay, WI
- NPI 1518920883
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629849600000",
"number": "1407084478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1789 SHAWANO AVE",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543033243",
"telephone_number": "920-499-1428",
"fax_number": "920-499-7080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "744 S WEBSTER AVE",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543013505",
"telephone_number": "920-433-3643",
"fax_number": "507-625-3928"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAGER",
"first_name": "CHRISTOPHER",
"middle_name": "MARTIN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-06-29",
"last_updated": "2021-08-25",
"certification_date": "2021-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MN",
"license": "53947",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MO",
"license": "2012011152",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "WI",
"license": "74857-20",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "christophermager@mklt.allscriptsdirect.net",
"affiliation": "N",
"endpointDescription": "Mankato Clinic Direct ID, Allscripts Community",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1230 E Main St",
"city": "Mankato",
"state": "MN",
"country_code": "US",
"postal_code": "560015066",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Green Bay, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2021; 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.
- 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.