NPIMap

Individual provider Active NPI

Christian J Wold, M.D.

  • Otolaryngology Physician
  • Alexandria, LA
National Provider Identifier
1801869409
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
202843 Issued in LA
Practice address
221 Windermere Blvd
Alexandria, LA 71303-3538
Phone
(318) 443-9773
Fax
(318) 427-3306
NPI assigned
Feb 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X 202843 LA
Otolaryngology Physician 207Y00000X 202843 LA Primary

Addresses

Primary practice location

221 Windermere Blvd
Alexandria, LA 71303-3538

Mailing address

221 Windermere Blvd
Alexandria, LA 71303-3538
Phone (318) 443-9773

Other identifiers 3

IdentifierTypeStateIssuer
1887137MedicaidLA
P00448380OtherMNMEDICARE, RAILROAD
568983000MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090908000004 LA Practitioner - OtolaryngologyPractitioner - General Surgery 2860427218 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
OtolaryngologyAlso: General Surgery
Education
Louisiana State University School of Medicine in New Orleans, 2004
Medicare assignment
May accept Medicare assignment
Group practices
Red River Associates LLCGroup PAC ID 2668527169, 11 clinicians
Physical Therapy Services of West Louisiana IncGroup PAC ID 0446388763, 92 clinicians

Practice addresses (Care Compare)

221 Windermere Blvd
Red River ENT Associates LLC
Alexandria, LA 71303-3538
Phone (318) 443-9773

301 W Fertitta Blvd
Leesville, LA 71446-4665
Phone (337) 238-9931

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
202843LAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lasalle Parish Hospital Service District #1 Current Accepting new patients
Lasalle Parish Hospital Service Dist No1 CurrentSince Feb 1, 2020 Accepting new patients
Christian J. Wold MD LLC CurrentSince May 1, 2011 Accepting new patients
Fyzical of Alexandria LLC CurrentSince Apr 3, 2019 Accepting new patients
Red River Associates LLC CurrentSince Jun 16, 2018 Accepting new patients
Lasalle Parish Hospital Service District #1 CurrentSince Feb 10, 2014 Accepting new patients
Jackson Parish Therapy Center LLC PastSince Jan 1, 2026 Accepting new patients
Paul a Guillory MD a Professional Medical Corporation Otolaryngology Past Accepting new patients

Locations

221 Windermere Blvd
#A
Alexandria, LA 71303
Phone (318) 545-7878

221 Windermere Blvd
Ste A
Alexandria, LA 71303
Phone (318) 545-7878

221 Windermere Blvd
Alexandria, LA 71303
Phone (318) 427-3300

1049 N Pine Rd
Olla, LA 71465
Phone (318) 495-3175

1102 N Pine Rd
Olla, LA 71465
Phone (318) 495-5302

Interoperability endpoints

  • Direct secure messaging: christian.wold@rre.eclinicaldirectplus.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Christus Central Louisiana Surgical HospitalAlexandria, LA, CCN 190298 Hospital Corporate Director Apr 1, 2021

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 9

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.

Hospital & facility affiliations 24

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

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1801869409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 WINDERMERE BLVD",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713033538",
            "telephone_number": "318-443-9773",
            "fax_number": "318-443-9773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 WINDERMERE BLVD",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713033538",
            "telephone_number": "318-443-9773",
            "fax_number": "318-427-3306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLD",
        "first_name": "CHRISTIAN",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-13",
        "last_updated": "2022-07-21",
        "certification_date": "2022-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "LA",
            "license": "202843",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "LA",
            "license": "202843",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1887137",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE, RAILROAD",
            "identifier": "P00448380",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "568983000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

Verify at the official NPI Registry.