Individual provider Active NPI

Eric C Christensen, MD

  • Otolaryngology Physician
  • Kansas City, MO
National Provider Identifier
1962478503
Registry record updated Sep 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
R5N03 Issued in MO
Practice address
5330 N Oak Trfy
Ste 201
Kansas City, MO 64118-4699
Phone
(816) 454-0666
Fax
(816) 454-1694
NPI assigned
Feb 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X R5N03 MO Primary

Addresses

Primary practice location

5330 N Oak Trfy
Ste 201
Kansas City, MO 64118-4699

Mailing address

5330 N Oak Trfy
Ste 201
Kansas City, MO 64118-4699
Phone (816) 454-0666

Other identifiers 2

IdentifierTypeStateIssuer
040009701OtherMORAILROAD MEDICARE
040009994OtherKSRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090713000398 KS Practitioner - Otolaryngology 9032148226 Reassigns benefits to 1 organization
I20090914000397 MO Practitioner - Otolaryngology 9032148226 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Kansas School of Med (KC/Wich/Sal), 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Medical Specialists PAGroup PAC ID 7517867203, shared by 2 NPIs, 13 clinicians

Practice addresses (Care Compare)

5330 N Oak Trfy
Suite 201
Kansas City, MO 64118-4600
Phone (816) 454-0666

7450 Kessler St
Suite 130
Merriam, KS 66204-2550
Phone (816) 454-0666

Hospital & facility affiliations

  • Adventhealth Shawnee Mission Hospital, Shawnee Mission, KS, CCN 170104
  • NKC Health Hospital, North Kansas City, MO, CCN 260096
  • Adventhealth South Overland Park, Inc Hospital, Overland Park, KS, CCN 170208

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Organizations & group practices 2

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1140739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315526400000",
    "number": "1962478503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5330 N OAK TRFY",
            "address_2": "STE 201",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641184699",
            "telephone_number": "816-454-0666",
            "fax_number": "816-454-1694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5330 N OAK TRFY",
            "address_2": "STE 201",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641184699",
            "telephone_number": "816-454-0666",
            "fax_number": "816-454-1694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTENSEN",
        "first_name": "ERIC",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-24",
        "last_updated": "2011-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MO",
            "license": "R5N03",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "040009701",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "040009994",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.