Organization Active NPI

Mary Elizabeth Christian MD, PMC

  • Specialist
  • Baton Rouge, LA
National Provider Identifier
1649435512
Registry record updated Feb 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
30072 Issued in LA
Legal business name
MARY ELIZABETH CHRISTIAN MD, PMC
Practice address
500 Rue de la Vie St
Suite 212
Baton Rouge, LA 70817-5127
Phone
(225) 216-1118
Fax
(225) 216-1119
NPI assigned
Jul 21, 2008
Last updated
Feb 22, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2013

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

Authorized official

Name
Mrs. Mary Elizabeth Christian, M.D.
Title
M.D.
Phone
(225) 216-1118

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 30072 LA Primary

Addresses

Primary practice location

500 Rue de la Vie St
Suite 212
Baton Rouge, LA 70817-5127

Mailing address

500 Rue de la Vie St
Suite 212
Baton Rouge, LA 70817-5127
Phone (225) 216-1118

Other identifiers 1

IdentifierTypeStateIssuer
1149861MedicaidLA

National Provider Directory

National Provider Directory

Locations

500 Rue de la Vie St
Ste 212
Baton Rouge, LA 70817
Phone (225) 216-1118

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1216598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361491200000",
    "number": "1649435512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 RUE DE LA VIE ST",
            "address_2": "SUITE 212",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708175127",
            "telephone_number": "225-216-1118",
            "fax_number": "225-216-1119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 RUE DE LA VIE ST",
            "address_2": "SUITE 212",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708175127",
            "telephone_number": "225-216-1118",
            "fax_number": "225-216-1119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY ELIZABETH CHRISTIAN MD, PMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-21",
        "last_updated": "2013-02-22",
        "status": "A",
        "authorized_official_last_name": "CHRISTIAN",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "225-216-1118",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "LA",
            "license": "30072",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1149861",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2013; 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.