Christopher L Fillmore, MD

Primary specialty

Aerospace Medicine PhysicianTaxonomy code 2083A0100X

License

24332 Issued in NE

Practice address

105 Grant Cir
Suite 133
Offutt a F B, NE 68113-4041

Phone

(402) 294-7346

NPI assigned

Apr 20, 2007

Last updated

Oct 14, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192320000000",
    "number": "1629296371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 GRANT CIR",
            "address_2": "SUITE 133",
            "city": "OFFUTT A F B",
            "state": "NE",
            "postal_code": "681134041",
            "telephone_number": "402-294-7346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 GRANT CIR",
            "address_2": "SUITE 133",
            "city": "OFFUTT A F B",
            "state": "NE",
            "postal_code": "681134041",
            "telephone_number": "402-294-7346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FILLMORE",
        "first_name": "CHRISTOPHER",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-20",
        "last_updated": "2007-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083A0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Aerospace Medicine",
            "state": "NE",
            "license": "24332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Charles Eschliman, D.O.
• Orlesha Diane Fairgood, LICSW
• David Faith
• Daniel G Fender, LICSW
• Edwin Fernandez Jr., DNP, APRN, FNP-C
• Jan Fink
• Vivianle B Freeman, O.D.
• William Freeman, MD
• Brendon Ross Fuhr
• John N Gayk, MD

• Aerospace Medicine Physician in Offutt AFB, NE
• Providers in Offutt AFB, NE by specialty
• Aerospace Medicine Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2007; 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.