Individual provider Active NPI

Christopher Edward Wiggins, M.D.

  • Orthopaedic Surgery Physician
  • Pascagoula, MS
National Provider Identifier
1407881022
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
06523 Issued in MS
Practice address
3615 Hospital St
Pascagoula, MS 39581-4112
Phone
(228) 762-3664
Fax
(228) 769-7015
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 06523 MS Primary

Addresses

Primary practice location

3615 Hospital St
Pascagoula, MS 39581-4112

Mailing address

PO Box 1283
Pascagoula, MS 39568-1283
Phone (228) 762-3664

Other identifiers 1

IdentifierTypeStateIssuer
00013593MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20101018000466 MS Practitioner - Orthopedic SurgeryPractitioner - General Practice 8022197151 Practice locations: Biloxi, MS; Lucedale, MS; Moss Point, MS; Ocean Springs, MS; Pascagoula, MS

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6523MSMDMental Health Counselor

Interoperability endpoints

  • Direct secure messaging: christopher.wiggins.1@18357.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407881022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1283",
            "city": "PASCAGOULA",
            "state": "MS",
            "postal_code": "395681283",
            "telephone_number": "228-762-3664",
            "fax_number": "228-769-7015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3615 HOSPITAL ST",
            "city": "PASCAGOULA",
            "state": "MS",
            "postal_code": "395814112",
            "telephone_number": "228-762-3664",
            "fax_number": "228-769-7015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIGGINS",
        "first_name": "CHRISTOPHER",
        "middle_name": "EDWARD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MS",
            "license": "06523",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00013593",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pascagoula, MS

Sources for this page

Verify at the official NPI Registry.