Individual provider Active NPI

Gregory Alan Christiansen, M.D.

  • Ophthalmology Physician
  • Salt Lake City, UT
National Provider Identifier
1831175629
Registry record updated Feb 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
LL15827 Issued in OR
Practice address
6344 S 900 E
Salt Lake City, UT 84121-2439
Phone
(801) 892-8222
Fax
(801) 904-3436
NPI assigned
Dec 22, 2005
Last updated
Feb 25, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X LL15827 OR Primary

Addresses

Primary practice location

6344 S 900 E
Salt Lake City, UT 84121-2439

Mailing address

6344 S 900 E
Salt Lake City, UT 84121-2439
Phone (801) 892-8222

Other identifiers 1

IdentifierTypeStateIssuer
028061MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, IA2 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

Enrollment IDStateProvider typePAC IDDetails
I20100715000821 UT Practitioner - Ophthalmology 5193793685
I20220524002556 IA Practitioner - Ophthalmology 5193793685 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Utah School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wolfe Clinic IncGroup PAC ID 8628979291, 37 clinicians

Practice addresses (Care Compare)

309 E Church St
Marshalltown, IA 50158-2946
Phone (641) 754-6200

6100 Westown Pkwy
Suite 200
West Des Moines, IA 50266-7757
Phone (515) 223-8685

6200 Westown Pkwy
Wolfe Eye Clinic
West Des Moines, IA 50266-7755
Phone (515) 223-8685

800 E 1St St
2500 Wolfe Clinic PC Ankeny
Ankeny, IA 50021-2077
Phone (515) 676-7014

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery898

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LL15827ORMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Methodist Hospital Current Accepting new patients
Wolfe Clinic Inc Ophthalmology CurrentSince Jun 1, 2022 Accepting new patients
Wolfe Surgery Center, LLC Past Accepting new patients
Mayo Clinic Past Accepting new patients
Eye Care Group of Southern Oregon, LLC Past Accepting new patients
James W Long, MD, PC Ophthalmology Past Accepting new patients
Eye Care Group of Southern Oregon, LLC Past Accepting new patients
James W Long MD PC Ophthalmology Past Accepting new patients
Medical Eye Center Optical Inc Past Accepting new patients
Eye Care Associates LLC Past Accepting new patients

Locations

117 E Lincoln Way
Ste 100
Jefferson, IA 50129
Phone (515) 386-8196

309 E Church St
Marshalltown, IA 50158
Phone (515) 754-6200

6100 Westown Pkwy
Ste 200
West Des Moines, IA 50266
Phone (515) 223-8685

6200 Westown Pkwy
West Des Moines, IA 50266
Phone (515) 222-9880

Interoperability endpoints

  • Direct secure messaging: gchristiansen@wolfe.intellechartdirect.net
  • Direct secure messaging: gchristiansen3941746@direct.trinity-health.org
  • Direct secure messaging: gchristiansen892133@direct.unitypoint.org

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424822400000",
    "number": "1831175629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6344 S 900 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841212439",
            "telephone_number": "801-892-8222",
            "fax_number": "801-904-3436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6344 S 900 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841212439",
            "telephone_number": "801-892-8222",
            "fax_number": "801-904-3436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTIANSEN",
        "first_name": "GREGORY",
        "middle_name": "ALAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2015-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OR",
            "license": "LL15827",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "028061",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.