NPIMap

Individual provider Active NPI

Christopher Marcus Whitney, PA-C

  • Surgical Physician Assistant
  • Lima, OH
National Provider Identifier
1487602009
Registry record updated Apr 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
50.002374 Issued in OH
Practice address
801 Medical Dr
Suite a
Lima, OH 45804-4099
Phone
(419) 222-6622
Fax
(419) 224-0015
NPI assigned
May 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 50.002374 OH Primary

Addresses

Primary practice location

801 Medical Dr
Suite a
Lima, OH 45804-4099

Mailing address

801 Medical Dr
Suite a
Lima, OH 45804-4099
Phone (419) 222-6622

Other identifiers 1

IdentifierTypeStateIssuer
000000374196OtherOHANTHEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051110000765 OH Practitioner - Physician Assistant 6002834769 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopaedic Institute of Ohio, IncGroup PAC ID 2860479078, 74 clinicians

Practice addresses (Care Compare)

1275 Greenville Rd
Saint Marys, OH 45885-9352
Phone (419) 394-4636

200 Saint Clair Ave
Saint Marys, OH 45885-2400
Phone (419) 222-6622

730 W Market St
Lima, OH 45801-4602
Phone (419) 222-6622

801 Medical Dr
Lima, OH 45804-4030
Phone (419) 222-6622

Hospital & facility affiliations

  • Institute for Orthopaedic Surgery Hospital, Lima, OH, CCN 360263
  • Mercy Health St Ritas Medical Center Hospital, Lima, OH, CCN 360066
  • Lima Memorial Health System Hospital, Lima, OH, CCN 360009
  • Grand Lake Health System Hospital, Saint Marys, OH, CCN 360032
  • Mercer County Joint Township Community Hospital Hospital, Coldwater, OH, CCN 360058

Merit-based Incentive Payment System (MIPS)

Final score
78.77 of 100Reported as group
Quality
62.75
Promoting interoperability
92
Improvement activities
40
Cost
73.16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
50.002374OHMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic Institute of Ohio, Inc. CurrentSince Sep 5, 2005 Accepting new patients
Orthopaedic Institute of Ohio, Inc CurrentSince Sep 5, 2005 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Mercy Emergency Care Services, Inc. Past Accepting new patients

Locations

801 Medical Dr
Lima, OH 45804
Phone (419) 227-0205

801 Medical Dr
Ste A
Lima, OH 45804
Phone 41922266223301

1002 S Knoxville Ave
Saint Marys, OH 45885
Phone 41939433874042

1275 E Greenville Rd
Saint Marys, OH 45885
Phone (419) 300-9790

140 Fox Rd
Van Wert, OH 45891
Phone (419) 238-7700

Interoperability endpoints

  • Direct secure messaging: christopherwhitney@glhs.allscriptsdirect.net
  • Direct secure messaging: chris.whitney@oio.eclinicaldirectplus.com

Organizations & group practices 4

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270425600000",
    "number": "1487602009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 MEDICAL DR",
            "address_2": "SUITE A",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458044099",
            "telephone_number": "419-222-6622",
            "fax_number": "419-224-0015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 MEDICAL DR",
            "address_2": "SUITE A",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458044099",
            "telephone_number": "419-222-6622",
            "fax_number": "419-224-0015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITNEY",
        "first_name": "CHRISTOPHER",
        "middle_name": "MARCUS",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2010-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "OH",
            "license": "50.002374",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000374196",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lima, OH

Sources for this page

Verify at the official NPI Registry.