DR. EDWIN DALE CHRISTENSEN (NPI# 1689635245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689635245 |
| Entity Type | Individual |
| Full Name | DR. EDWIN DALE CHRISTENSEN |
| Credential | M.D. |
| Practice Address |
1325 Mcfarland Blvd Ste 204 Northport AL 35476-3275 |
| Practice Telephone | 2054623334 |
| Mailing Telephone | 2054623334 |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2020-04-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 24343 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | BC/BS OF ALABAMA | 051536986 | 01 |
| AL | 009939446 | 05 | |
| AL | MEDICARE RAILROAD CARRIER | P00373792 | 01 |
| AL | BCBS OF ALABAMA | 511-11742 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639155864 | Edwin R Christensen | Psychologist | 5104 Daisy Ln, Murray, UT 84123-4519 | 2005-12-20 |
| Street Address |
1325 MCFARLAND BLVD STE 204 |
| City | NORTHPORT |
| State | AL |
| Zip Code | 35476-3275 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790398469 | Shelby Leanne Bowden | Nurse Practitioner | 1325 Mcfarland Blvd Ste 204, Northport, AL 35476-3275 | 2020-08-24 |
| 1104344282 | Brandi Torres | Nurse Practitioner | 1325 Mcfarland Blvd Ste 204, Northport, AL 35476-3275 | 2017-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669942728 | Dch Encore Rehabilitation, LLC | Clinic/Center | Dch Encore Rehabilitation, LLC, 92 Mcfarland Blvd, Northport, AL 35476 | 2018-12-03 |
| 1821592189 | Julia Madrid | Counselor | 1905 4th St Ste 4, Northport, AL 35476 | 2018-03-21 |
| 1740652395 | Restoring Piece LLC | Community/Behavioral Health | 433 Main Avenue, Northport, AL 35476 | 2015-10-22 |
| 1316363740 | Alabama Bariatric and Wellness | Internal Medicine | 1325 Mcfarland Blvd. Suite #209, Northport, AL 35476 | 2014-03-10 |
| 1104170406 | Kerry Thomas, Hill | Chiropractor | 1580 Lurleen Wallace Blvd., Northport, AL 35476 | 2012-11-08 |
| 1366794703 | Back To Fitness | Chiropractor | 1580 Lorleen Wallace Blvd., Northport, AL 35476 | 2012-10-10 |
| 1740532357 | Andrea Austin Barry | Nurse Practitioner | 920 Rose Dr., Northport, AL 35476 | 2012-10-05 |
| 1184995953 | Julie T Guy | Pharmacist | 3107 Lurleen B Wallace Boulevard, Northport, AL 35476 | 2012-01-25 |
| 1427280973 | Ida Denise Robinson | Internal Medicine | 2201 Mcfarland Blvd., Northport, AL 35476 | 2009-08-18 |
| 1700017852 | Bony F Barrineau Md PC | Orthopaedic Surgery | 2201 32nd Street, Northport, AL 35476 | 2009-08-06 |
| Find all providers in zip 35476 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750919635 | Tamara Dudley Mack | Family Medicine | 3802 Biscayne Hills Dr, Northport, AL 35473-2437 | 2020-03-27 |
| 1902438930 | Katharine Anne Womack | Family Medicine | 12 Soundview Dr, Northport, NY 11768-1445 | 2020-02-07 |
| 1316585219 | Cerra Jordan Jackson | Family Medicine | 5710 Watermelon Road, Suite 600, Northport, AL 35473 | 2019-12-11 |
| 1669025144 | Kraydman Medical, P.C. | Family Medicine | 49 Dolphin Ln, Northport, NY 11768-1860 | 2019-07-23 |
| 1164930939 | Brandi Nail Hubbard | Family Medicine | 5004 Al-69, Northport, AL 35473 | 2018-01-16 |
| 1609164334 | Brenainn Mairtin Flanagan | Family Medicine | 12 Burr Ave, Northport, NY 11768-1927 | 2011-07-15 |
| 1144467309 | Caroline J Day | Family Medicine | 5710 Watermelon Road, Suite 600, Northport, AL 35473 | 2009-01-09 |
| 1235310400 | Eray Oge | Family Medicine | 11 Clam Shell Ln, Northport, NY 11768-1140 | 2007-11-16 |
| 1730386749 | Karen J Young | Family Medicine | 220 Bluff Rd, Northport, ME 04849-4206 | 2007-07-02 |
| 1205997285 | Jeffery G Parker M.d. P.C. | Family Medicine | 2810 Lurleen Wallace Boulevard, Northport, AL 35476 | 2006-12-13 |
| Find all providers in NORTHPORT | ||||
Please comment or provide details below to improve the information on DR. EDWIN DALE CHRISTENSEN.
| 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.