NPIMap

Individual provider Active NPI

Clinton Wayne Christopher, PA-C

  • Physician Assistant
  • Austin, TX
National Provider Identifier
1902134935
Registry record updated Apr 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
6836 Bee Cave Rd
Ste 116
Austin, TX 78746-5059
Phone
(512) 524-2290
Fax
(512) 524-2291
NPI assigned
Dec 2, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

6836 Bee Cave Rd
Ste 116
Austin, TX 78746-5059

Mailing address

6836 Bee Cave Rd
Ste 116
Austin, TX 78746-5059
Phone (512) 524-2290

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100517000048 TX Practitioner - Physician Assistant 3678601473 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Orthopedics Sports & Rehabilitation Associates PA Past Accepting new patients
St. David'S Carenow Urgent Care PLLC Past Accepting new patients
El Paso Hospitalist Group PLLC Physician Assistant Past Accepting new patients

Organizations & group practices 6

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": "1259712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302652800000",
    "number": "1902134935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6836 BEE CAVE RD",
            "address_2": "STE 116",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787465059",
            "telephone_number": "512-524-2290",
            "fax_number": "512-524-2291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6836 BEE CAVE RD",
            "address_2": "STE 116",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787465059",
            "telephone_number": "512-524-2290",
            "fax_number": "512-524-2291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTOPHER",
        "first_name": "CLINTON",
        "middle_name": "WAYNE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-12-02",
        "last_updated": "2011-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.