Christopher Leonard Devine, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS7229 Issued in FL

Practice address

1395 S State Road 7 Ste 300
Wellington, FL 33414-9326

Phone

(561) 791-4434

Fax

(561) 795-0464

NPI assigned

Jul 28, 2005

Reactivated

Mar 27, 2006

Sex

Male

Sole proprietor

No

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)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: cdevine@wellingtonfamilypractice.gwaydirect.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Coastal Care Corporation

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Stuart, FL
  • NPI 1366469975
  NPD (past)
• Martin Memorial Medical Center Inc

  • Urgent Care Clinic/Center
  • Stuart, FL
  • NPI 1154962918
  NPD (past)
• Martin Memorial Physician Corporation Inc

  • Multi-Specialty Clinic/Center
  • Stuart, FL
  • NPI 1578505228
  NPD (past)

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551916800000",
    "number": "1477553840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1397 MEDICAL PARK BLVD",
            "address_2": "SUITE 460",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334143186",
            "telephone_number": "561-791-4434",
            "fax_number": "561-795-0464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1395 S STATE ROAD 7 STE 300",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334149326",
            "telephone_number": "561-791-4434",
            "fax_number": "561-795-0464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVINE",
        "first_name": "CHRISTOPHER",
        "middle_name": "LEONARD",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2019-03-07",
        "deactivation_date": "2006-03-21",
        "reactivation_date": "2006-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS7229",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "252605100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dermatology Center of Wellington PA
• Julie Derose, LCSW
• Des Cares LLC
• Desiree Garzon, DPM, PA
• Emily Dettinburn
• Diabetes Self Management Supplies
• Diana Berman LCSW Inc
• Diana Moore, LCSW, P.a. Group
• Michelle Anne Diana, FNP-C
• Ciarra Diaz

• Family Medicine Physician in Wellington, FL
• Providers in Wellington, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.