Jacob Charles Christian, DO

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

2007001552 Issued in MO

Practice address

901 Heartland Rd
Suite 2800
St. Joseph, MO 64506-3398

Phone

(816) 271-1244

Fax

(816) 271-1220

NPI assigned

Sep 2, 2006

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 3

Medicare fee-for-service enrollment

Enrolled in MT, ID2 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

Specialty

Obstetrics/Gynecology

Education

Des Moines University of Osteopathic Medicine and Health Sciences, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St Johns Lutheran Hospital IncGroup PAC ID 1557255676, 34 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cabinet Peaks Medical Center Hospital, Libby, MT, CCN 271320

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• St. John'S Lutheran Hospital, Inc.

  • Critical Access Hospital
  • Libby, MT
  • NPI 1952312050

  ID

  Medicare reassignment Care Compare group NPD
• SCL Health Medical Group-Butte LLC

  • Family Medicine Physician
  • Butte, MT
  • NPI 1477869600
  Medicare reassignment NPD
• SCL Health Medical Group-Butte LLC

  • Rural Health Clinic/Center
  • Boulder, MT
  • NPI 1861031122
  NPD
• St James Healthcare

  • General Acute Care Hospital
  • Butte, MT
  • NPI 1528037215
  NPD (past)

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

• St. John'S Lutheran Hospital, Inc.

  • Critical Access Hospital
  • Libby, MT
  • NPI 1952312050
  Care Compare affiliation

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511136000000",
    "number": "1790887388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 HEARTLAND RD STE 2800",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645066201",
            "telephone_number": "816-271-1200",
            "fax_number": "816-271-1220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 HEARTLAND RD",
            "address_2": "SUITE 2800",
            "city": "ST. JOSEPH",
            "state": "MO",
            "postal_code": "645063398",
            "telephone_number": "816-271-1244",
            "fax_number": "816-271-1220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTIAN",
        "first_name": "JACOB",
        "middle_name": "CHARLES",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-02",
        "last_updated": "2017-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MO",
            "license": "2007001552",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200605660A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "39927012",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "42600018",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Choices of St Joseph, Inc
• David K. Chou, MD
• Christensen Counseling Services, LLC
• Christensen Orthodontics, LLC
• Don Christensen, LCSW
• Douglas Chyatte, M.D.
• City of St. Joseph
• Clark Family Dentistry
• Alexavier Maximus Clark
• Heather Elise Clark, DDS

• Obstetrics & Gynecology Physician in St. Joseph, MO
• Providers in St. Joseph, MO by specialty
• Obstetrics & Gynecology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2017; 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.