NATHAN CHRISTIAN, D.O. - NPI NUMBER 1205921210

Summary

Provider Name: NATHAN CHRISTIAN, D.O.

NPI Number: 1205921210

Clasification: Family Medicine (207Q00000X)

Organization: WIGGINGTON ROAD FAMILY PRACTICE INC

Address:
21556 TIMBERLAKE RD
SUITE D
LYNCHBURG, VA
ZIP 24502

Phone Number: (434) 239-8104



Detailed Information

Nathan Christian, D.O. is a family physician in Lynchburg, VA with 34 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. The assigned NPI number for this provider is 1205921210 and is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year: 1980

The provider's business address is:

21556 TIMBERLAKE RD
SUITE D
LYNCHBURG, VA
ZIP 24502-234
Phone: (434) 239-8104
Fax: (434) 239-4312

The enumeration date for this NPI number is 10/4/2006 and was last updated on 7/8/2007.

Map - Location of Practice

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Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 207Q00000X Family Medicine 0102033534 VA Yes

Other (Legacy) Identifiers

The following legacy identifiers are available for this provider:

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1 B59657 MEDICARE UPIN VA
2 197594 OTHER VA ANTHEM

NPI Record

No. Field Name Field Value
1 NPI 1205921210
2 Entity Type Code 1
3 Provider Last Name Legal Name CHRISTIAN
4 Provider First Name NATHAN
5 Provider Credential Text D.O.
6 Provider First Line Business Practice Location Address 21556 TIMBERLAKE RD
7 Provider Second Line Business Practice Location Address SUITE D
8 Provider Business Practice Location Address City Name LYNCHBURG
9 Provider Business Practice Location Address State Name VA
10 Provider Business Practice Location Address Postal Code 245027234
11 Provider Business Practice Location Address Country Code If outside U S US
12 Provider Business Practice Location Address Telephone Number 4342398104
13 Provider Business Practice Location Address Fax Number 4342394312
14 Provider Enumeration Date 10/4/2006
15 Last Update Date 7/8/2007
16 Provider Gender Code M
17 Healthcare Provider Taxonomy Code 1 207Q00000X
18 Provider License Number 1 0102033534
19 Provider License Number State Code 1 VA
20 Healthcare Provider Primary Taxonomy Switch 1 Y
21 Other Provider Identifier 1 B59657
22 Other Provider Identifier Type Code 1 02
23 Other Provider Identifier State 1 VA
24 Other Provider Identifier 2 197594
25 Other Provider Identifier Type Code 2 01
26 Other Provider Identifier State 2 VA
27 Other Provider Identifier Issuer 2 ANTHEM
28 Is Sole Proprietor Y

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This page was last updated on: 7/15/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.