Individual provider Active NPI

Eric Wayne Chrisinger, M.D.

  • Pediatrics Physician
  • Seattle, WA
National Provider Identifier
1992793582
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD00022997 Issued in WA
Practice address
11545 15TH Ave NE
Suite 205
Seattle, WA 98125-6358
Phone
(206) 364-2010
Fax
(206) 364-2432
NPI assigned
Oct 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD00022997 WA Primary

Addresses

Primary practice location

11545 15TH Ave NE
Suite 205
Seattle, WA 98125-6358

Mailing address

11545 15TH Ave NE
Suite 205
Seattle, WA 98125-6358
Phone (206) 364-2010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00022997WAMDPediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1128729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992793582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11545 15TH AVE NE",
            "address_2": "SUITE 205",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981256358",
            "telephone_number": "206-364-2010",
            "fax_number": "206-364-2432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11545 15TH AVE NE",
            "address_2": "SUITE 205",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981256358",
            "telephone_number": "206-364-2010",
            "fax_number": "206-364-2432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISINGER",
        "first_name": "ERIC",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WA",
            "license": "MD00022997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.