Active NPI
Peter Christensen, DO
- Family Medicine Physician
- Holland, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 5101015100
- Practice address
- 904 Washington Ave
Suite 210
Holland, MI 49423-7724 - Phone
- (616) 392-8035
- NPI assigned
- Jul 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 5101015100 | MI | Primary |
Addresses
Primary practice location
904 Washington Ave
Suite 210
Holland, MI 49423-7724
Mailing address
904 Washington Ave
Suite 210
Holland, MI 49423-7724
Phone (616) 392-8035
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4605400 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Midwestern University, Chicago College of Osteopathic Med, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
904 Washington Ave
210 Family Medicine South Washington
Holland, MI 49423-7724
Phone (616) 392-8035
Hospital & facility affiliations
- Holland Community Hospital
- Holland Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101015100 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holland Community Hospital | Current | Accepting new patients | |
| Intercare Community Health Network | Current | Accepting new patients | |
| Intercare Community Health Network | Current | Accepting new patients | |
| Holland Community Hospital | Current | Accepting new patients | |
| Intercare Community Health Network | Current | Accepting new patients | |
| Holland Community Hospital | Family Medicine | Current | Accepting new patients |
| Holland Community Hospital | Past | Accepting new patients |
Locations
50 Industrial Park Rd
Bangor, MI 49013
Phone (269) 427-7937
800 M 139
Benton Harbor, MI 49022
Phone (269) 927-5400
415 Wiley Rd
Ste 102
Douglas, MI 49406
Phone (269) 857-3208
3235 N Wellness Dr
Holland, MI 49424
Phone (616) 399-9522
577 Michigan Ave
Ste 101
Holland, MI 49423
Phone (616) 393-2190
3232 N Wellness Dr
Holland, MI 49424
Phone (616) 494-4250
175 S Waverly Rd
Holland, MI 49423
Phone (616) 355-3896
904 Washington Ave
Ste 210
Holland, MI 49423
Phone (616) 392-8035
Interoperability endpoints
- peter.christensen@holland.eclinicaldirectplus.com
Organizations & group practices 7
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Holland, MI
- NPI 1780888099
-
- Federally Qualified Health Center (FQHC)
- Bangor, MI
- NPI 1326058512
-
- Neurology Physician
- Holland, MI
- NPI 1508095530
-
- Family Medicine Physician
- Hudsonville, MI
- NPI 1952130585
-
- Federally Qualified Health Center (FQHC)
- Eau Claire, MI
- NPI 1336701119
-
- Federally Qualified Health Center (FQHC)
- Benton Harbor, MI
- NPI 1902235328
-
- Otolaryngology Physician
- Holland, MI
- NPI 1982910857
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Holland, MI
- NPI 1477629780
-
- General Acute Care Hospital
- Holland, MI
- NPI 1871672618
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442275200000",
"number": "1720007834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "904 WASHINGTON AVE",
"address_2": "SUITE 210",
"city": "HOLLAND",
"state": "MI",
"postal_code": "494237724",
"telephone_number": "616-392-8035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "904 WASHINGTON AVE",
"address_2": "SUITE 210",
"city": "HOLLAND",
"state": "MI",
"postal_code": "494237724",
"telephone_number": "616-392-8035"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHRISTENSEN",
"first_name": "PETER",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-19",
"last_updated": "2015-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "5101015100",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4605400",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Holland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.