Christina M Mitchem-Walter, MD
Individual provider Active NPI Pediatrics Physician · Swanton, OH
NPI 1992789853 · NPPES record last updated Jul 31, 2012
Key facts
- NPI
- 1992789853
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 35083188 (OH)
- Practice address
- 1 Turtle Creek Cir
Ste F
Swanton, OH 43558-8537 - Phone
- (419) 825-5151
- Fax
- (419) 825-5901
- NPI assigned
- Dec 5, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Medical College of Ohio, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Mercy Health Physicians-North LLC
Practice addresses (Care Compare)
22 Turtle Creek Cir
Swanton, OH 43558-8591
Phone (419) 696-8877
2222 Cherry St
Toledo, OH 43608-2675
45 St Lawrence Dr
Tiffin, OH 44883-8310
Phone (419) 455-8500
Hospital & facility affiliations
- Mercy St Vincent Medical Center
- Fulton County Health Center
- Promedica Toledo Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20031118000888 | OH | Practitioner - Internal Medicine | 6901710490 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35083188 | OH | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health Physicians-North LLC | Internal Medicine | Current |
Accepting new patients |
| Mercy Health Physicians - North, LLC | Current |
Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Mercy Health System Northern | Past | Accepting new patients |
Locations
1 Turtle Creek Cir
Ste F
Swanton, OH 43558
Phone (419) 696-8877
22 Turtle Creek Cir
Swanton, OH 43558
Phone (419) 825-5151
2200 Jefferson Ave
Fl 5
Toledo, OH 43604
Phone (419) 251-9826
2222 Cherry St
Ste 2300
Toledo, OH 43608
Phone (419) 251-8013
Interoperability endpoints
- cmitchemwalter27135@direct.bsmhealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 35083188 | OH | |
| Pediatrics Physician | 208000000X | 35083188 | OH | Yes |
Addresses
Primary practice location
1 Turtle Creek Cir
Ste F
Swanton, OH 43558-8537
Mailing address
1 Turtle Creek Cir
Ste F
Swanton, OH 43558-8537
Phone (419) 825-5151
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2438836 | Medicaid | OH |
Other providers in Swanton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 31, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.