RONALD F CHRISTIANSON MD NPI 1407891880

NPI Information

NPI: 1407891880
Provider Name: RONALD F CHRISTIANSON, MD
Classification: Radiology - 2085R0204X
Entity Type: Individual

Specialization: Vascular & Interventional Radiology

PECOS Registration: Yes

Address:
2845 GREENBRIER RD
GREEN BAY, WI
ZIP 54311
Phone: (920) 288-4930
Get Directions

Ronald F Christianson, MD is a vascular and interventional radiology radiology in Green Bay, WI. The provider is a radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. Ronald F Christianson, MD NPI is 1407891880. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2845 GREENBRIER RD
GREEN BAY, WI
ZIP 54311-519
Phone: (920) 288-4930
Fax: (920) 288-4941

The NPI 1407891880 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/18/2006 and was last updated on 3/22/2016.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology	46196	WISCONSIN	No
2	2085R0204X	Radiology	Vascular & Interventional Radiology	46196	WISCONSIN	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	34447400	MEDICAID	WISCONSIN
2	E93622	MEDICARE UPIN	WISCONSIN
3	P00092289	OTHER	WISCONSIN	RAILROAD
4	019007650	MEDICARE ID-TYPE UNSPECIFIED	WISCONSIN
5	104555710	MEDICAID	MICHIGAN

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

NPI Synchronization or Removal

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