NPIMap

Organization Active NPI

Peter N. Christie, D.O.

  • Multi-Specialty Clinic/Center
  • Media, PA
National Provider Identifier
1891091419
Registry record updated Jan 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
License
OS005633L Issued in PA
Legal business name
PETER N. CHRISTIE, D.O.
Practice address
1215 W Baltimore Pike
Suite 13
Media, PA 19063-5540
Phone
(610) 565-1919
NPI assigned
Jan 28, 2011
Last updated
Jan 28, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2011

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

Authorized official

Name
Dr. Peter Christie, D.O.NPI 1205805413
Title
Owner
Phone
(610) 565-1919

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X OS005633L PA Primary

Addresses

Primary practice location

1215 W Baltimore Pike
Suite 13
Media, PA 19063-5540

Mailing address

1215 W Baltimore Pike
Suite 13
Media, PA 19063-5540

Other identifiers 1

IdentifierTypeStateIssuer
021762OtherPAINDEPENDENCE BLUE CROSS

National Provider Directory

National Provider Directory

Locations

1215 W Baltimore Pike
Ste 13
Media, PA 19063
Phone (610) 565-1919

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1296172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296172800000",
    "number": "1891091419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 W BALTIMORE PIKE",
            "address_2": "SUITE 13",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190635540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 W BALTIMORE PIKE",
            "address_2": "SUITE 13",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190635540",
            "telephone_number": "610-565-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER N. CHRISTIE, D.O.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-28",
        "last_updated": "2011-01-28",
        "status": "A",
        "authorized_official_last_name": "CHRISTIE",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-565-1919",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "PA",
            "license": "OS005633L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE CROSS",
            "identifier": "021762",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Media, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.