Active NPI
Christopher Devine DO PA
- Family Medicine Physician
- Wellington, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS7229
- 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, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christopher Devine, DO PA
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 252605100 | Medicaid | FL |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Family Medicine Physician
- Wellington, FL
- NPI 1477553840
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.