Individual provider Active NPI

Christian Shigley

  • Orthopaedic Surgery Physician
  • Providence, RI
National Provider Identifier
1942950472
Registry record updated Apr 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
ML61291565 Issued in WA
Practice address
Box G-M1 Alpert Medical School - Brown University
Providence, RI 02912-0001
Phone
(401) 863-3330
NPI assigned
Mar 27, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X ML61291565 WA Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

Box G-M1 Alpert Medical School - Brown University
Providence, RI 02912-0001

Mailing address

Box G-M1 Alpert Medical School - Brown University
Providence, RI 02912-0001
Phone (401) 863-3330

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220418000048 WA Order and Referring Only - Orthopedic SurgeryPractitioner - Orthopedic Surgery 5991191173

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ML61291565WAMDOrthopaedic Surgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1648339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649462400000",
    "number": "1942950472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BOX G-M1 ALPERT MEDICAL SCHOOL - BROWN UNIVERSITY",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029120001",
            "telephone_number": "401-863-3330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BOX G-M1 ALPERT MEDICAL SCHOOL - BROWN UNIVERSITY",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029120001",
            "telephone_number": "401-863-3330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIGLEY",
        "first_name": "CHRISTIAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-27",
        "last_updated": "2022-04-09",
        "certification_date": "2022-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "WA",
            "license": "ML61291565",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.