Christopher Christiansen, M.D.
Individual provider Active NPI Family Medicine Physician · Puyallup, WA
NPI 1457747594 · NPPES record last updated Nov 3, 2023
Key facts
- NPI
- 1457747594
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- MD61418604 (WA)
- Practice address
- 12005 Meridian E
Puyallup, WA 98373-3423 - Phone
- (253) 841-6100
- Fax
- (253) 841-6139
- NPI assigned
- Apr 14, 2015
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 10
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Loma Linda University School of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Franciscan Medical Group
Practice addresses (Care Compare)
12005 Meridian E
Suite 101
Puyallup, WA 98373-3423
Phone (253) 215-1095
Hospital & facility affiliations
- St Joseph Medical Center
- St Francis Community Hospital
- St Clare Hospital
- St Anthony Hospital
- St Elizabeth Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230815002619 | WA | Practitioner - Family Practice | 6709165012 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 145177 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaweah Delta Health Care District | Current | Accepting new patients | |
| Franciscan Medical Group | Family Medicine | Current |
Accepting new patients |
| Franciscan Medical Group | Current |
Accepting new patients | |
| Franciscan Medical Group | Family Medicine | Past |
Accepting new patients |
Locations
400 W Mineral King Ave
Visalia, CA 93291
Phone (559) 624-2001
2930 S Meridian
Ste 200
Puyallup, WA 98373
Phone (253) 445-7600
12005 Meridian E
#101
Puyallup, WA 98373
Phone (253) 215-1095
1812 S J St
Ste 120
Tacoma, WA 98405
Phone (253) 428-2200
Interoperability endpoints
- cchristiansen796820@fhsce.catholichealth.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD61418604 | WA | Yes |
Addresses
Primary practice location
12005 Meridian E
Puyallup, WA 98373-3423
Mailing address
12005 Meridian E
Puyallup, WA 98373-3423
Phone (253) 841-6100
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2255978 | Medicaid | WA |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cchristiansen796820@fhsce.catholichealth.net | Direct | Franciscan Medical Group |
NPI Registry JSON
{
"created_epoch": "1428969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698969600000",
"number": "1457747594",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12005 MERIDIAN E",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983733423",
"telephone_number": "253-841-6100",
"fax_number": "253-841-6139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12005 MERIDIAN E",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983733423",
"telephone_number": "253-841-6100",
"fax_number": "253-841-6139"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHRISTIANSEN",
"first_name": "CHRISTOPHER",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-04-14",
"last_updated": "2023-11-03",
"certification_date": "2023-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MD61418604",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2255978",
"state": "WA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cchristiansen796820@fhsce.catholichealth.net",
"affiliation": "Y",
"affiliationName": "Franciscan Medical Group",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "12005 Meridian E",
"city": "Puyallup",
"state": "WA",
"country_code": "US",
"postal_code": "983733423",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Puyallup, WA
- Aundrea Maye Christensen-Gilbert
- Dane M Christensen
- Lisa Ann Christensen
- Pamela Michelle Christensen
- Sally Denise Christensen
- Laura Beth Christiansen
- Danielle Christianson
- Martha Pauline Christie
- Christopher R. Madsen DDS, PLLC
- Charles R Chu
All providers in Puyallup, WA · Family Medicine Physician in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 3, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.