DR. CHRISTINA H DOTHAGER (NPI# 1508067596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508067596 |
| Entity Type | Individual |
| Full Name | DR. CHRISTINA H DOTHAGER |
| Credential | M.D. |
| Practice Address |
787 Sunset Blvd Ste 200 O Fallon IL 62269-1960 |
| Practice Telephone | 6187262229 |
| Practice Fax Number | 6187262225 |
| Mailing Telephone | 6187262229 |
| Mailing Fax Number | 6187262225 |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2019-03-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207V00000X | Obstetrics & Gynecology | 01080468A | IN | Allopathic & Osteopathic Physicians |
| Y | 207V00000X | Obstetrics & Gynecology | 036-125618 | IL | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | 2006015668 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036125618 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9447 Holy Cross Ln, Breese, IL 622303510 | 6185262209 | 6185267372 |
| Street Address |
787 SUNSET BLVD STE 200 |
| City | O FALLON |
| State | IL |
| Zip Code | 62269-1960 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740776251 | Christina H Dothager Md LLC | Clinic/Center | 787 Sunset Blvd Ste 200, O Fallon, IL 62269-1960 | 2018-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648155 | Kayla Revermann | Pharmacist | 1350 W Us Highway 50, Pharmacy, O Fallon, IL 62269 | 2020-10-30 |
| 1942814272 | Ashley Monique Gibson | Behavior Technician | Eagle Center, Ste 10, Ofallon, IL 62269 | 2020-09-03 |
| 1013533819 | Michelle Denise Voudrie | Registered Nurse | 321 Regency Park, O'fallon, IL 62269 | 2020-06-18 |
| 1598398455 | Washington University Physicians In Illinois - Cancer Center Pharmacy | Pharmacy | 1418 Cross Street, Suite 180, Shiloh, IL 62269 | 2020-02-19 |
| 1962063800 | Gerald Paskert | Pharmacist | 122 W. State St., O'fallon, IL 62269 | 2019-06-21 |
| 1780144808 | Bonnie Jean Lampe | Physical Therapy Assistant | 316 Donna Dr, O'fallon, IL 62269 | 2019-03-24 |
| 1134633993 | Latisha Smith | Psychologist | 600 S. Smiley St., O'fallon, IL 62269 | 2017-11-30 |
| 1619407210 | Brenna M Thomas | Registered Nurse | 1310 Engle Ct, O'fallon, IL 62269 | 2017-06-15 |
| 1881135622 | Pc Associates, LLC | Family Medicine | 800 East Highway 50, O'fallon, IL 62269 | 2017-03-13 |
| 1700230539 | Jennifer Farrell | Family Medicine | 3 St. Elizabeth's Blvd, Ste. 4000, O'fallon, IL 62269 | 2016-04-18 |
| Find all providers in zip 62269 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326484742 | Emma Rose Eubanks | Obstetrics & Gynecology | 1101 State Highway K, O Fallon, MO 63366 | 2013-05-13 |
| 1669673653 | Anne Rebecca Seyer | Obstetrics & Gynecology | 20 Progress Point Pkwy Ste 206, O Fallon, MO 63368-2207 | 2007-05-29 |
| 1477585669 | Julia Gale Hoffman | Obstetrics & Gynecology | 20 Progress Point Pkwy Ste 126, O Fallon, MO 63368-2207 | 2006-07-07 |
| 1427027515 | Kirsten M Mcdaniel | Obstetrics & Gynecology | 20 Progress Point Pkwy Ste 200, O Fallon, MO 63368-2207 | 2006-03-14 |
| 1407837982 | P Douglas Young Jr. | Obstetrics & Gynecology | 1101 Highway K, O Fallon, MO 63366-8431 | 2005-11-10 |
| 1730174277 | Rosel Hirang Calong | Obstetrics & Gynecology | 800 E Highway 50, O Fallon, IL 62269-2844 | 2005-09-12 |
| 1447696802 | Thomas Frederic Ganz | Obstetrics & Gynecology | 1101 Highway K, O Fallon, MO 63366-8431 | 2013-05-13 |
| 1790028520 | Lindsay Ann Murphy Dickerhoff | Obstetrics & Gynecology | 1101 Highway K, O Fallon, MO 63366-8431 | 2013-03-29 |
| 1417211756 | Nikol Lei Smart | Obstetrics & Gynecology | 20 Progress Point Pkwy, Ste 206, O Fallon, MO 63368-2206 | 2012-07-02 |
| 1578875647 | Cory Scott Miller | Obstetrics & Gynecology | 20 Progress Point Pkwy, Ste 206, O Fallon, MO 63368-2206 | 2010-07-06 |
| Find all providers in O FALLON | ||||
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| 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.