Active NPI
Sharon Marie Christie, MD
- Dermatology Physician
- Middletown, CT
National Provider Identifier
1912908393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 38326
- Practice address
- 540 Saybrook Rd
Middletown, CT 06457-4711 - Phone
- (860) 358-2780
- Fax
- (860) 358-2781
- NPI assigned
- Aug 9, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Procedural Dermatology Physician | 207NS0135X | 038326 | CT | |
| Dermatology Physician | 207N00000X | 38326 | CT | Primary |
Addresses
Primary practice location
540 Saybrook Rd
Middletown, CT 06457-4711
Mailing address
28 Crescent St
Middletown, CT 06457-3654
Phone (860) 358-4820
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010038326CT02 | Other | CT | BCBS |
| 0V7245 | Other | HEALTH NET | |
| P2064320 | Other | OXFORD | |
| 2340445 | Other | AETNA | |
| 150894 | Other | CONNECTICARE | |
| 401367 | Other | HARVARD PILGRIM | |
| 070014961 | Other | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38326 | CT | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Day Kimball Medical Group Inc | Dermatology | Current | Accepting new patients |
| Dermatology Care Center LLC | Current | Accepting new patients | |
| New England Dermatology, P.C. | Dermatology | Past | Accepting new patients |
Locations
132 Westminster Rd
Canterbury, CT 06331
Phone (860) 546-2225
55 Green Hollow Rd
Danielson, CT 06239
Phone (860) 774-1350
114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001
74 Mack St
Windsor, CT 06095
Phone (860) 242-0734
Interoperability endpoints
- https://api.platform.athenahealth.com/1694/brand/19/csg/48/fhir/r4
Organizations & group practices 3
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.
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- Windsor, CT
- NPI 1063350957
-
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- Springfield, MA
- NPI 1356348098
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720656000000",
"number": "1912908393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28 CRESCENT ST",
"city": "MIDDLETOWN",
"state": "CT",
"postal_code": "064573654",
"telephone_number": "860-358-4820",
"fax_number": "860-358-8661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "540 SAYBROOK RD",
"city": "MIDDLETOWN",
"state": "CT",
"postal_code": "064574711",
"telephone_number": "860-358-2780",
"fax_number": "860-358-2781"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHRISTIE",
"first_name": "SHARON",
"middle_name": "MARIE",
"name_prefix": "Miss",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-08-09",
"last_updated": "2024-07-11",
"certification_date": "2024-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "207NS0135X",
"taxonomy_group": "",
"desc": "Dermatology, Procedural Dermatology",
"state": "CT",
"license": "038326",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "CT",
"license": "38326",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "010038326CT02",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NET",
"identifier": "0V7245",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P2064320",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2340445",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE",
"identifier": "150894",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "401367",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "070014961",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Middletown, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; 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.