Individual provider Active NPI

Christopher R Mann, MD

  • Obstetrics & Gynecology Physician
  • Easton, PA
National Provider Identifier
1740272145
Registry record updated Sep 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD061849L Issued in PA
Practice address
2005 Fairview Ave
Suite B
Easton, PA 18042-3915
Phone
(610) 258-3615
Fax
(610) 253-4496
NPI assigned
Aug 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD061849L PA Primary

Addresses

Primary practice location

2005 Fairview Ave
Suite B
Easton, PA 18042-3915

Mailing address

2005 Fairview Ave
Suite B
Easton, PA 18042-3915
Phone (610) 258-3615

Other identifiers 2

IdentifierTypeStateIssuer
0017456220007MedicaidPA
278066OtherPAHIGHMARK PIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070405000091 PA Practitioner - Obstetrics/Gynecology 3274637913 Reassigns benefits to 1 organization
I20090306000405 NJ Practitioner - Obstetrics/Gynecology 3274637913 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke'S Physician Group, Inc. Obstetrics & Gynecology CurrentSince Mar 1, 2020 Accepting new patients
St. Luke'S Warren Physician Group, PC CurrentSince Jul 1, 2020 Accepting new patients
St. Luke'S Warren Physician Group, PC CurrentSince Jul 1, 2020 Accepting new patients
St. Luke'S Physician Group, Inc. Current Accepting new patients
St Luke'S Physician Group Inc CurrentSince Mar 1, 2020 Accepting new patients
St. Luke'S Warren Physician Group, PC Current Accepting new patients
Two Rivers Hospital Corporation Past Accepting new patients

Locations

39 Roseberry St
Ste 2
Phillipsburg, NJ 08865
Phone (908) 847-1037

700 Coventry Dr
Phillipsburg, NJ 08865
Phone (908) 213-0770

755 Memorial Pkwy
Ste 302
Phillipsburg, NJ 08865
Phone (908) 847-6722

185 Roseberry St
Bldg 2ND
Phillipsburg, NJ 08865
Phone (908) 847-2619

250 S 21st St
Easton, PA 18042
Phone (610) 250-4300

2925 Wm Penn Hwy
Ste 104
Easton, PA 18045
Phone (610) 258-3615

2925 Wm Penn Hwy
Ste 201
Easton, PA 18045
Phone (610) 258-1400

41 Community Dr
Fl 2
Easton, PA 18045
Phone (610) 258-3615

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

951 Male Rd
Wind Gap, PA 18091
Phone (610) 654-1000

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.

NPI Registry JSON

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

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474329600000",
    "number": "1740272145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 FAIRVIEW AVE",
            "address_2": "SUITE B",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180423915",
            "telephone_number": "610-258-3615",
            "fax_number": "610-253-4496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 FAIRVIEW AVE",
            "address_2": "SUITE B",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180423915",
            "telephone_number": "610-258-3615",
            "fax_number": "610-253-4496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANN",
        "first_name": "CHRISTOPHER",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-22",
        "last_updated": "2016-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD061849L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017456220007",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK PIN",
            "identifier": "278066",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, PA

Sources for this page

Verify at the official NPI Registry.