Organization Active NPI

Christopher Devine DO PA

  • Family Medicine Physician
  • Wellington, FL
National Provider Identifier
1942469168
Registry record updated Oct 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS7229 Issued in FL
Legal business name
CHRISTOPHER DEVINE DO PA
Practice address
1395 S State Road 7 Ste 300
Wellington, FL 33414-9326
Phone
(561) 791-4434
Fax
(561) 795-2878
NPI assigned
Jun 3, 2008
Last updated
Oct 24, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2017

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

Authorized official

Name
Christopher Devine, DO PANPI 1477553840
Title
President/Physician
Phone
(561) 791-4434

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X OS7229 FL Primary

Addresses

Primary practice location

1395 S State Road 7 Ste 300
Wellington, FL 33414-9326

Mailing address

1395 S State Road 7 Ste 300
Wellington, FL 33414-9326
Phone (561) 791-4434

Other practice location 1

1397 Medical Park Blvd
Suite 460
Wellington, FL 33414-3186
Phone (561) 791-4434

Other identifiers 1

IdentifierTypeStateIssuer
252605100MedicaidFL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1212451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508803200000",
    "number": "1942469168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 S STATE ROAD 7 STE 300",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334149326",
            "telephone_number": "561-791-4434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1395 S STATE ROAD 7 STE 300",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334149326",
            "telephone_number": "561-791-4434",
            "fax_number": "561-795-2878"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1397 Medical Park Blvd",
            "address_2": "Suite 460",
            "address_purpose": "LOCATION",
            "city": "Wellington",
            "state": "FL",
            "postal_code": "334143186",
            "country_code": "US",
            "telephone_number": "561-791-4434",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHRISTOPHER DEVINE DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-03",
        "last_updated": "2017-10-24",
        "status": "A",
        "authorized_official_last_name": "DEVINE",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICIAN",
        "authorized_official_telephone_number": "561-791-4434",
        "authorized_official_credential": "DO PA"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS7229",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "252605100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellington, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2017; 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.