Active NPI
Christina M Massinople, M.D.
- Specialist
- Mobile, AL
National Provider Identifier
1730161928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 24980
- Practice address
- 2350 Schillinger Road South
Suite a
Mobile, AL 36695-4177 - Phone
- (251) 633-0123
- Fax
- (251) 410-6079
- NPI assigned
- Nov 15, 2005
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 24980 | AL | Primary |
Addresses
Primary practice location
2350 Schillinger Road South
Suite a
Mobile, AL 36695-4177
Mailing address
PO Box 7627
Mobile, AL 36670-0627
Phone (251) 633-7211
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51513057 | Other | AL | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210114001812 | AL | Order and Referring Only - Internal Medicine | 7810055670 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24980 | AL | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Methodist Healthcare - Memphis Hospitals | Past | Accepting new patients | |
| Methodist Healthcare - Memphis Hospitals | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Cardiovascular Disease Physician
- Memphis, TN
- NPI 1043202088
-
dba MLH Shelby Oaks Pharmacy
- Community/Retail Pharmacy
- Memphis, TN
- NPI 1225723133
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220572800000",
"number": "1730161928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7627",
"city": "MOBILE",
"state": "AL",
"postal_code": "366700627",
"telephone_number": "251-633-7211",
"fax_number": "251-410-6079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2350 SCHILLINGER ROAD SOUTH",
"address_2": "SUITE A",
"city": "MOBILE",
"state": "AL",
"postal_code": "366954177",
"telephone_number": "251-633-0123",
"fax_number": "251-410-6079"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASSINOPLE",
"first_name": "CHRISTINA",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-15",
"last_updated": "2008-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "AL",
"license": "24980",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "51513057",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2008; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.