Individual provider Active NPI

Christine Irene Kwik, MD

  • General Practice Physician
  • Elkins Park, PA
National Provider Identifier
1750645602
Registry record updated Jun 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
MD034987L Issued in PA
Practice address
8303 Tulpehocken Ave
Elkins Park, PA 19027-1909
Phone
(215) 782-8693
NPI assigned
Jun 26, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X MD034987L PA Primary

Addresses

Primary practice location

8303 Tulpehocken Ave
Elkins Park, PA 19027-1909

Mailing address

8303 Tulpehocken Ave
Elkins Park, PA 19027-1909
Phone (215) 782-8693

Other names 1

  • Mrs. Christine Irene Kwik-Kostek Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD034987LPAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Hospital Inc Past Accepting new patients

Organizations & group practices 1

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": "1340668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340668800000",
    "number": "1750645602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8303 TULPEHOCKEN AVE",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190271909",
            "telephone_number": "215-782-8693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8303 TULPEHOCKEN AVE",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190271909",
            "telephone_number": "215-782-8693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWIK",
        "first_name": "CHRISTINE",
        "middle_name": "IRENE",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-26",
        "last_updated": "2012-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PA",
            "license": "MD034987L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "KWIK-KOSTEK",
            "middle_name": "IRENE",
            "prefix": "MRS.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Elkins Park, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.