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MARY ELIZABETH CHRISTIAANSE MD NPI 1215911888


NPI Information

NPI: 1215911888
Provider Name: MARY ELIZABETH CHRISTIAANSE, MD
Classification: Pediatrics - 2080P0006X
Entity Type: Individual

Specialization: Developmental - Behavioral Pediatrics

Address:
MEDICAL CENTER BLVD
WINSTON SALEM, NC
ZIP 27157
Phone: (336) 716-2255
Get Directions

Mary Elizabeth Christiaanse, MD is a developmental - behavioral pediatrics pediatrics in Winston Salem, NC. The provider is a developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development. Mary Elizabeth Christiaanse, MD NPI is 1215911888. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

MEDICAL CENTER BLVD
WINSTON SALEM, NC
ZIP 27157-001
Phone: (336) 716-2255

The enumeration date for this NPI number is 12/6/2005 and was last updated on 4/22/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080P0006XPediatricsDevelopmental - Behavioral Pediatrics30010NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
126619OTHERNORTH CAROLINAPARTNERS
211776OTHERNORTH CAROLINABCBS
3D16760MEDICARE UPIN
41869031000MEDICAIDWEST VIRGINIA
5Q3001AMEDICAIDSOUTH CAROLINA
684312OTHERNORTH CAROLINAMEDCOST
77911776MEDICAIDNORTH CAROLINA
86701108MEDICAIDVIRGINIA
92266532AMEDICARE PINNORTH CAROLINA
107388373OTHERNORTH CAROLINAAETNA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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.