Christine S. Dotterer, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD023895E Issued in PA

Practice address

113 N Market St
Selinsgrove, PA 17870-1941

Phone

(570) 374-0202

Fax

(570) 374-7601

NPI assigned

Jun 24, 2005

Last updated

Jun 21, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1119571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277078400000",
    "number": "1447256375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 N MARKET ST",
            "city": "SELINSGROVE",
            "state": "PA",
            "postal_code": "178701941",
            "telephone_number": "570-374-0202",
            "fax_number": "570-374-7601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 N MARKET ST",
            "city": "SELINSGROVE",
            "state": "PA",
            "postal_code": "178701941",
            "telephone_number": "570-374-0202",
            "fax_number": "570-374-7601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOTTERER",
        "first_name": "CHRISTINE",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-24",
        "last_updated": "2010-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD023895E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00857769",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark E Dincher, DMD
• Tara Lynn Dively, M.A., LMFT
• Diversified Construction, Inc.
• Divine Providence Hospital of the Sisters of Christian Charity
• Anthony DO, O.D.
• Dr. Henry G Yavorek MD
• Laurie Drick, OTR/L
• Brandon Dunkle, RPH
• Dva Healthcare Renal Care Inc (Selinsgrove Dialysis)
• Kathryn E Dzikowski, PA-C

• Family Medicine Physician in Selinsgrove, PA
• Providers in Selinsgrove, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.