Active NPI
Christine Linn Tock, MD PHD
- Dermatology Physician
- Fitchburg, WI
National Provider Identifier
1811968571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- MA07773700
- Practice address
- 3051 Cahill Main
Fitchburg, WI 53711-7109 - Phone
- (608) 661-7200
- NPI assigned
- Jan 31, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | MA07773700 | NJ | Primary |
Addresses
Primary practice location
3051 Cahill Main
Fitchburg, WI 53711-7109
Mailing address
1265 John Q Hammons Dr
Madison, WI 53717-1921
Phone (608) 251-4156
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)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA07773700 | NJ | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Dermatology Group | Dermatology | 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.
-
- Dermatology Physician
- West Orange, NJ
- NPI 1962428474
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349049600000",
"number": "1811968571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1265 JOHN Q HAMMONS DR",
"city": "MADISON",
"state": "WI",
"postal_code": "537171921",
"telephone_number": "608-251-4156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3051 CAHILL MAIN",
"city": "FITCHBURG",
"state": "WI",
"postal_code": "537117109",
"telephone_number": "608-661-7200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOCK",
"first_name": "CHRISTINE",
"middle_name": "LINN",
"credential": "MD PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-31",
"last_updated": "2012-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NJ",
"license": "MA07773700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fitchburg, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.