Christopher K David, MD
Individual provider Active NPI Emergency Medicine Physician · Grants Pass, OR
NPI 1487816682 · NPPES record last updated Jul 12, 2012
Key facts
- NPI
- 1487816682
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 35091336 (OH)
- Practice address
- 500 SW Ramsey Ave
Grants Pass, OR 97527-5554 - Phone
- (541) 472-7000
- NPI assigned
- Jun 28, 2008
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 7
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Asante
Asante Three Rivers Medical Center LLC
Practice addresses (Care Compare)
2825 E Barnett Rd
Medford, OR 97504-8332
Phone (541) 789-7000
500 SW Ramsey Ave
Grants Pass, OR 97527-5554
Phone (541) 472-7000
Hospital & facility affiliations
- Asante Three Rivers Medical Center
- Asante Rogue Regional Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
- 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 |
|---|---|---|---|---|
| I20120727000257 | OR | Practitioner - Emergency Medicine | 4385838945 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35091336 | OH | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Asante Ashland Community Hospital, LLC | Current |
Accepting new patients |
Locations
280 Maple St
Ashland, OR 97520
Phone (541) 201-4000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 35091336 | OH | Yes |
Addresses
Primary practice location
500 SW Ramsey Ave
Grants Pass, OR 97527-5554
Mailing address
PO Box 4749
Medford, OR 97501-0227
Phone (541) 789-5516
Other providers in Grants Pass, OR
- Caroline Lazaga Dasalla
- Davera Corporation
- David D. Candelaria, MD
- David F. Young MD PC
- David R. Willing, DC, LLC
- James Lowell Davidian
- Lorraine Hooke Davies
- Debbie Davis
- Holli Davis
- Jacqui Davis
All providers in Grants Pass, OR · Emergency Medicine Physician in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 12, 2012. 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.