Individual provider Active NPI

Mary Emily Christiansen, M.D.

  • Obstetrics & Gynecology Physician
  • Knoxville, TN
National Provider Identifier
1831543644
Registry record updated Oct 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
0000061138 Issued in TN
Practice address
501 19TH St Ste 509
Knoxville, TN 37916-1874
Phone
(865) 386-6508
NPI assigned
Apr 18, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 0000061138 TN Primary

Addresses

Primary practice location

501 19TH St Ste 509
Knoxville, TN 37916-1874

Mailing address

501 19TH St Ste 509
Knoxville, TN 37916-1874
Phone (865) 524-3208

Other practice location 1

University Of Tennessee
920 Madison Ave Suite 447
Memphis, TN 38163-0001
Phone (901) 448-5814

Other practice location 2

501 19th St Ste 501
Knoxville, TN 37916-1874
Phone (865) 524-3208

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20201015000709 TN Practitioner - Obstetrics/Gynecology 8921397399 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Tennessee, HSC, College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fort Sanders Obstetrical and Gynecological Group, PCGroup PAC ID 1254416506, 11 clinicians

Practice addresses (Care Compare)

9314 Parkwest Blvd
Suite 303
Knoxville, TN 37923
Phone (865) 524-3208

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0000061138TNMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fort Sanders Obstetrical and Gynecological Group, P.C. Single Specialty CurrentSince Sep 1, 2020 Accepting new patients
Fort Sanders Obstetrical and Gynecological Group II LLC Past Accepting new patients

Locations

9314 Park West Blvd
Ste 303
Knoxville, TN 37923
Phone (865) 524-3208

501 19th St
Ste 509
Knoxville, TN 37916
Phone (423) 524-1024

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1460937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633392000000",
    "number": "1831543644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 19TH ST STE 509",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379161874",
            "telephone_number": "865-524-3208",
            "fax_number": "865-522-4322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 19TH ST STE 509",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379161874",
            "telephone_number": "865-386-6508"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "University Of Tennessee",
            "address_2": "920 Madison Ave Suite 447",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381630001",
            "country_code": "US",
            "telephone_number": "901-448-5814",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 19th St Ste 501",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379161874",
            "country_code": "US",
            "telephone_number": "865-524-3208",
            "fax_number": "865-522-4322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHRISTIANSEN",
        "first_name": "MARY",
        "middle_name": "EMILY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-18",
        "last_updated": "2021-10-05",
        "certification_date": "2021-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "TN",
            "license": "0000061138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.