KELLY MARIE CHRISTNER (NPI# 1154796878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154796878 |
Entity Type | Individual |
Full Name | KELLY MARIE CHRISTNER |
Credential | PA-C |
Practice Address |
3355 Riverbend Dr Ste 300 Springfield OR 97477-8800 |
Practice Telephone | 5418689303 |
Practice Fax Number | 5418689306 |
Mailing Telephone | 5418689303 |
Mailing Fax Number | 5418689306 |
Enumeration Date | 2015-12-07 |
Last Update Date | 2020-02-13 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA179199 | OR | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OR | 500718575 | 05 |
Street Address |
3355 RIVERBEND DR STE 300 |
City | SPRINGFIELD |
State | OR |
Zip Code | 97477-8800 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770564015 | Duc Minh Vo | Surgery | 3355 Riverbend Dr Ste 300, Springfield, OR 97477-8800 | 2005-11-11 |
1376027698 | Clara Stone | Physician Assistant | 3355 Riverbend Dr Ste 300, Springfield, OR 97477-8800 | 2018-09-21 |
1205355740 | Heidi Marie Semple | Nurse Practitioner | 3355 Riverbend Dr Ste 300, Springfield, OR 97477-8800 | 2017-09-15 |
1780933952 | Gregg Vincent Kosloff | Physician Assistant | 3355 Riverbend Dr Ste 300, Springfield, OR 97477-8800 | 2012-09-04 |
1366732729 | Katelyn Ann Clark | Surgery | 3355 Riverbend Dr Ste 300, Springfield, OR 97477-8800 | 2011-04-19 |
1972802148 | Cassandra M. Wolanin | Nurse Practitioner | 3355 Riverbend Dr Ste 300, Springfield, OR 97477 | 2011-03-27 |
1942447032 | Kevin Andrew Modeste | Surgery | 3355 Riverbend Dr Ste 300, Springfield, OR 97477-8800 | 2009-01-12 |
1366691750 | David D Mcallister | Surgery | 3355 Riverbend Dr Ste 300, Springfield, OR 97477 | 2008-09-10 |
1790945418 | Loic J. Fabricant | Surgery | 3355 Riverbend Dr Ste 300, Springfield, OR 97477-8800 | 2008-06-16 |
1548462815 | Swee H Teh | Surgery | 3355 Riverbend Dr Ste 300, Springfield, OR 97477-8800 | 2007-05-31 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508416140 | Chase Michael Collings | Physician Assistant | 960 N 16th St Ste 303, Springfield, OR 97477 | 2019-09-16 |
1174079396 | Amie Flanagan | Occupational Therapy Assistant | 3152 Valentine Court, Springfield, OR 97477 | 2016-08-28 |
1609229590 | Kiernan Davis Snedigar | Counselor | 175 W B St Ste J, Springfield, OR 97477 | 2016-07-15 |
1578914206 | Ryan James Dixon | Counselor | 1923 Centennial Blvd, Springfield, OR 97477 | 2016-06-23 |
1902275464 | Jovonnie Bashaw | Counselor | 1157 5th St, Springfield, OR 97477 | 2015-09-15 |
1053759506 | Norco Inc | Durable Medical Equipment & Medical Supplies | 302 Shelley St Ste 7&8, Springfield, OR 97477 | 2013-06-06 |
1780931634 | Justin Morris | Pharmacist | 1891 Pioneer Parkway East, Springfield, OR 97477 | 2012-08-09 |
1194083105 | Mersedeh Bahr Hosseini | Psychiatry & Neurology | 3311 Riverbend Dr., Neurohospitalists, Springfield, OR 97477 | 2012-04-26 |
1962769679 | Hiro Kawata | Internal Medicine | 3311 Rierbend Dr., Springfield, OR 97477 | 2012-04-19 |
1659662823 | Wendy A Teigen | Counselor | 3995 Marcola Rd., Springfield, OR 97477 | 2011-04-22 |
Find all providers in zip 97477 |
Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629592225 | Justin William Starling | Physician Assistant | 1515 Keys Ave, Springfield, IL 62702-2933 | 2017-07-26 |
1710435011 | Alexander Andersen | Physician Assistant | 445 Harlow Rd Ste 200, Springfield, OR 97477-1341 | 2016-09-14 |
1932538980 | Emily Baecher | Physician Assistant | 2 Medical Cetner Dr, Suite 205, Springfield, MA 01199-1619 | 2013-11-09 |
1699114421 | Lauren M Kendall | Physician Assistant | 960 N 16th St Ste 108, Springfield, OR 97477-4175 | 2013-06-14 |
1750660148 | Daniel Francis Reilly Jr. | Physician Assistant | 2 Medical Center Dr Ste 308, Springfield, MA 01107-1271 | 2011-08-16 |
1831499383 | Christin Wolak | Physician Assistant | 300 Birnie Ave Ste 201, Springfield, MA 01107-1121 | 2010-11-01 |
1811200710 | Jessica Anne White | Physician Assistant | 25 Ridgewood Rd., Esne, Springfield, VT 05156 | 2010-07-20 |
1043540669 | Kristen Dawn Dodd | Physician Assistant | 960 N 16th St Ste 207, Springfield, OR 97477-4175 | 2010-01-04 |
1831337765 | Cynthia R. Krinochkin | Physician Assistant | 3801 S. National, 5th Floor, Springfield, MO 65807-5210 | 2009-01-30 |
1578746079 | Jamie Moore | Physician Assistant | 2 Medical Center Drive Suite 503, Springfield, MA 01199-0001 | 2007-12-07 |
Find all providers in SPRINGFIELD |
City | SPRINGFIELD |
Zip Code | 97477 |
Please comment or provide details below to improve the information on KELLY MARIE CHRISTNER.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.