Active NPI
Christa Marie McEnerney, D.O.
- Family Medicine Physician
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 6883
- Practice address
- 75 State St FL 26
Boston, MA 02109-1827 - Phone
- (855) 635-1393
- NPI assigned
- Jun 2, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 6883 | AZ | Primary |
Addresses
Primary practice location
75 State St FL 26
Boston, MA 02109-1827
Mailing address
7214 W Tether TRL
Peoria, AZ 85383-7341
Phone (515) 864-6562
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6883 | AZ | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Honorhealth Medical Group, LLC | Current | Accepting new patients | |
| Honorhealth Ambulatory | Current | Accepting new patients | |
| Honorhealth Ambulatory | Current | Accepting new patients | |
| Honorhealth Medical Group, LLC | Current | Accepting new patients | |
| Broadlawns Medical Center | Current | Accepting new patients | |
| Scottsdale Healthcare Corporation | Family Medicine | Current | Accepting new patients |
| Squaw Peak Family Physicians PC | Family Medicine | Current | Accepting new patients |
| Honorhealth Medical Group, LLC | Family Medicine | Current | Accepting new patients |
| Honorhealth Medical Group, LLC | Family Medicine | Current | Accepting new patients |
| Broadlawns Medical Center | Current | Accepting new patients |
Locations
3648 W Anthem Way
Ste A100
Anthem, AZ 85086
Phone (623) 434-6444
4712 E Dynamite Blvd
Cave Creek, AZ 85331
Phone (480) 342-8711
6220 W Bell Rd
Ste 130
Glendale, AZ 85308
Phone (602) 547-7348
1610 W Glendale Ave
#128
Phoenix, AZ 85021
Phone (623) 780-1999
2500 W Utopia Rd
Ste 100
Phoenix, AZ 85027
Phone (623) 683-4462
4131 N 24th St
Ste B102
Phoenix, AZ 85016
Phone (602) 955-6632
18404 N Tatum Blvd
Ste 101
Phoenix, AZ 85032
Phone (602) 992-1900
34975 N North Valley Pkwy
Ste 100
Phoenix, AZ 85086
Phone (623) 295-4820
9327 N 3rd St
Ste 100
Phoenix, AZ 85020
Phone (602) 371-3100
20745 N Scottsdale Rd
Scottsdale, AZ 85255
Phone (480) 419-8572
10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250
1801 Hickman Rd
Des Moines, IA 50314
Phone (515) 282-2200
Organizations & group practices 10
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.
-
- General Acute Care Hospital
- Des Moines, IA
- NPI 1467447508
-
- Hematology & Oncology Physician
- Scottsdale, AZ
- NPI 1407050917
-
- Primary Care Clinic/Center
- Peoria, AZ
- NPI 1043851793
-
- Pharmacy
- Des Moines, IA
- NPI 1013197060
-
- Emergency Medicine Physician
- Mesa, AZ
- NPI 1891518130
-
- Family Medicine Physician
- Phoenix, AZ
- NPI 1033104716
-
- Internal Medicine Physician
- Phoenix, AZ
- NPI 1255442380
-
- Family Medicine Physician
- Scottsdale, AZ
- NPI 1285338343
-
- Family Medicine Physician
- Tempe, AZ
- NPI 1407228760
-
- Family Medicine Physician
- Phoenix, AZ
- NPI 1578590303
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682899200000",
"number": "1831536788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7214 W TETHER TRL",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853837341",
"telephone_number": "515-864-6562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 STATE ST FL 26",
"city": "BOSTON",
"state": "MA",
"postal_code": "021091827",
"telephone_number": "855-635-1393"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCENERNEY",
"first_name": "CHRISTA",
"middle_name": "MARIE",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-06-02",
"last_updated": "2023-05-01",
"certification_date": "2023-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "6883",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.