Individual provider Active NPI

Peter Christensen, DO

  • Family Medicine Physician
  • Holland, MI
National Provider Identifier
1720007834
Registry record updated Sep 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101015100 Issued in MI
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

Updated by the provider on Sep 15, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
4605400MedicaidMI

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041018000589 MI Practitioner - Family Practice 7810957453 Reassigns benefits to 2 organizations

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
Holland Community HospitalGroup PAC ID 0446157291, 174 clinicians

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 Home health agency, Holland, MI, CCN 237226
  • Holland Hospital Hospital, Holland, MI, CCN 230072

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5101015100MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Holland Community Hospital Current Accepting new patients
Intercare Community Health Network CurrentSince Sep 20, 2004 Accepting new patients
Intercare Community Health Network Current Accepting new patients
Holland Community Hospital CurrentSince Mar 1, 2016 Accepting new patients
Intercare Community Health Network CurrentSince Sep 20, 2004 Accepting new patients
Holland Community Hospital Family Medicine CurrentSince Mar 1, 2016 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.