MEDICARE: CHRISTOPHER J ORAVITZ 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	207V00000X	Obstetrics & Gynecology Physician	CO060262	MI

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	160049787	OTHER	MI	RAILROAD MEDICARE #

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	14493	OTHER	MI	GREAT LAKES HEALTH PLAN #
3	0000000070	OTHER	MI	CAPE HEALTH PLAN #
4	1006413	OTHER	MI	MCLAREN HEALTH PLAN #
5	C39880	OTHER	MI	MCARE #
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	383516078	OTHER	MI	TAX ID #
8	1607367690	OTHER	MI	BCBS #
9	95C00857	OTHER	MA	HEALTHPLUS #
10	17917	OTHER	MI	COMMUNITY CHOICE #

General Provider Information

NPI Number	:	1316082050
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER J ORAVITZ M.D.

Provider Business Mailing Address
First Line	:	25 E M 55
Second Line	:
City	:	TAWAS CITY
State	:	MI
Zip	:	48763-9362
Country	:	US
Telephone Number	:	989-362-2540
Fax Number	:	989-362-7290

Provider Business Practice Location Address
First Line	:	25 E M 55
Second Line	:
City	:	TAWAS CITY
State	:	MI
Zip	:	48763-9362
Country	:	US
Telephone Number	:	989-362-2540
Fax Number	:	989-362-7290

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

Provider Enumeration Date	:	02/20/2007
Last Update Date	:	04/06/2021

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