MEDICARE: MARK G. CHRISTOPHER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RG0100X	Gastroenterology Physician	35-04-9998	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
7	100004591	OTHER		RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	1699729913	OTHER	NPI
2	001714038	OTHER	MOUNTAIN STATE BCBS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	000000007341	OTHER	ANTHEM BCBS
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1699729913
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARK G. CHRISTOPHER M.D.

Provider Business Mailing Address
First Line	:	90 JACKSON PIKE
Second Line	:
City	:	GALLIPOLIS
State	:	OH
Zip	:	45631-1560
Country	:	US
Telephone Number	:	740-441-1934
Fax Number	:	740-446-5486

Provider Business Practice Location Address
First Line	:	500 BURLINGTON RD
Second Line	:
City	:	JACKSON
State	:	OH
Zip	:	45640-9360
Country	:	US
Telephone Number	:	855-446-5387
Fax Number	:	740-446-5573

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/20/2006
Last Update Date	:	01/20/2021

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Directions to “ MARK G. CHRISTOPHER M.D.” Practice Location

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