Christine Renee Dodge, SA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Practice address

39237 County Road 43
Ault, CO 80610-9539

Phone

(970) 692-4369

NPI assigned

Nov 13, 2014

Last updated

Jun 10, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Christine Dodge

  • General Acute Care Hospital
  • Ault, CO
  • NPI 1770988396
  NPD (past) Authorized official

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

{
    "created_epoch": "1415836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433894400000",
    "number": "1447656764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39237 COUNTY ROAD 43",
            "city": "AULT",
            "state": "CO",
            "postal_code": "806109539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39237 COUNTY ROAD 43",
            "city": "AULT",
            "state": "CO",
            "postal_code": "806109539",
            "telephone_number": "970-692-4369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DODGE",
        "first_name": "CHRISTINE",
        "middle_name": "RENEE",
        "credential": "SA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-13",
        "last_updated": "2015-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caren B. Blantin
• Blue Bison Psychiatry, LLC
• Mikaela Paige Blum, OTR/L
• Katrina Lynne Boschmann, LPC
• Christine Dodge
• Embracing Hope Wellness Clinic LLC
• Tara Grant, FNP
• Healing Pathways LLC
• Kari Hettinger, RDH
• Bambi Hill, LMT

• Surgical Physician Assistant in Ault, CO
• Providers in Ault, CO by specialty
• Surgical Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2015; 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.