Active NPI
Christopher E Ihionkhan, M.D.
- Pediatrics Physician
- Longview, TX
National Provider Identifier
1407851249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- L0292
- Practice address
- 818 N 4TH St
Longview, TX 75601-5433 - Phone
- (903) 236-8600
- NPI assigned
- Jun 17, 2005
- Last updated
- Apr 23, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | L0292 | TX | Primary |
| Neonatal-Perinatal Medicine Physician | 2080N0001X | L0292 | TX |
Addresses
Primary practice location
818 N 4TH St
Longview, TX 75601-5433
Mailing address
818 N 4TH St
Longview, TX 75601-5433
Phone (903) 236-8600
Other practice location 1
2304 Judson Rd Ste D
Longview, TX 75605-4675
Phone (903) 212-6060
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 090006004 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christus Good Shepherd Medical Center | Past | Accepting new patients | |
| Longview Medical Center LP | Past | Accepting new patients | |
| Ancor Health Center, PA | Past | Accepting new patients |
Interoperability endpoints
- christopher.ihionkhan@ssp-tx.direct.office.nextgen.com
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Acute Care Hospital
- Longview, TX
- NPI 1124092036
-
dba Longview Regional Medical Center
- General Acute Care Hospital
- Longview, TX
- NPI 1528026267
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619136000000",
"number": "1407851249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "818 N 4TH ST",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "756015433",
"telephone_number": "903-236-8600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "818 N 4TH ST",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "756015433",
"telephone_number": "903-236-8600"
}
],
"practiceLocations": [
{
"address_1": "2304 Judson Rd Ste D",
"address_purpose": "LOCATION",
"city": "Longview",
"state": "TX",
"postal_code": "756054675",
"country_code": "US",
"telephone_number": "903-212-6060",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "IHIONKHAN",
"first_name": "CHRISTOPHER",
"middle_name": "E",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-17",
"last_updated": "2021-04-23",
"certification_date": "2021-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "L0292",
"primary": true
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "TX",
"license": "L0292",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "090006004",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Longview, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.