Christian Thor Lige, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

200200943 Issued in NC

Practice address

400 S Croatan Hwy
Kill Devil Hills, NC 27948-8895

Phone

(252) 449-5200

Fax

(252) 565-0534

NPI assigned

May 31, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

Pediatric Medicine

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Surf Pediatrics and Medicine PCGroup PAC ID 8527207927, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• The Outer Banks Hospital, Inc Hospital, Nags Head, NC, CCN 341324

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: clige16470@direct.ecuhealth.com

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.

• Surf Pediatrics and Medicine PC

  • Pediatrics Physician
  • Kitty Hawk, NC
  • NPI 1609058056

  NC, Pediatrics

  Medicare reassignment Care Compare group NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• The Outer Banks Hospital Inc

  • Critical Access Hospital
  • Nags Head, NC
  • NPI 1053375253

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596499200000",
    "number": "1740283142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5107 N CROATAN HWY",
            "city": "KITTY HAWK",
            "state": "NC",
            "postal_code": "279493989",
            "telephone_number": "252-255-5321",
            "fax_number": "252-565-0534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S CROATAN HWY",
            "city": "KILL DEVIL HILLS",
            "state": "NC",
            "postal_code": "279488895",
            "telephone_number": "252-449-5200",
            "fax_number": "252-565-0534"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5107 N Croatan Hwy Ste 202",
            "address_purpose": "LOCATION",
            "city": "Kitty Hawk",
            "state": "NC",
            "postal_code": "279493989",
            "country_code": "US",
            "telephone_number": "252-255-5321",
            "fax_number": "252-565-0534",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5107 N Croatan Hwy Ste 101",
            "address_purpose": "LOCATION",
            "city": "Kitty Hawk",
            "state": "NC",
            "postal_code": "279493989",
            "country_code": "US",
            "telephone_number": "252-255-5321",
            "fax_number": "252-565-0534",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIGE",
        "first_name": "CHRISTIAN",
        "middle_name": "THOR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-31",
        "last_updated": "2020-08-04",
        "certification_date": "2020-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "200200943",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89132G8",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa C Kimball
• Kristin Ann Kuhar, MS, CCC-SLP
• Dolores Anne Kutzer
• Viva Marie Lachance, RN, NC-BC, NBC-HWC
• James Charles Layton, PHD
• Kimberly Long, D.D.S.
• James Trahey Maner, DDS
• Christopher Mann, MD
• Sara Rachel Marcus, PH.D.
• Nicole Gregory Martin, LPC

• Pediatrics Physician in Kill Devil Hills, NC
• Providers in Kill Devil Hills, NC by specialty
• Pediatrics Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2020; 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.

Verify at the official NPI Registry.