MEDICARE: PAUL J CHRISTENSON MD

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	208800000X	Urology Physician	35078926C	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
7	P00779235	OTHER		RAIL ROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	35078926C	OTHER	OH	STATE MEDIAL LICENSE NUMB
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	50372	OTHER		COTLGEN NUMBER BARD
4	H30788	OTHER		NATIONAL PROVIDER IDENTIF
5	0433726	OTHER	KS	MEDICAL LICENSE
6	305747	OTHER		AUA PERSONAL ID NUMBER
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	483155	OTHER		FAMILY HEALTH PARTNERS
10	2009010040	OTHER	MO	MEDICAL LICENSE
11	43078011	OTHER		BLUE CROSS

General Provider Information

NPI Number	:	1841250370
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAUL J CHRISTENSON MD

Provider Business Mailing Address
First Line	:	3901 RAINBOW BLVD
Second Line	:	MAIL STOP 3016
City	:	KANSAS CITY
State	:	KS
Zip	:	66103-2937
Country	:	US
Telephone Number	:	913-588-6152
Fax Number	:	913-588-0603

Provider Business Practice Location Address
First Line	:	3901 RAINBOW BLVD
Second Line	:	MAIL STOP 3016
City	:	KANSAS CITY
State	:	KS
Zip	:	66103-2937
Country	:	US
Telephone Number	:	913-588-6152
Fax Number	:	913-588-0603

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

Provider Enumeration Date	:	03/27/2006
Last Update Date	:	03/07/2023

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Directions to “ PAUL J CHRISTENSON MD” Practice Location

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