DR. CHRISTINE MARIE CISNEROS M.D. NPI 1003004524

Preventive Medicine (Occupational Medicine) in Elkhart, IN

About CHRISTINE CISNEROS

Christine Cisneros is a provider in Elkhart, IN. The NPI number assigned to this provider is 1003004524. The practitioner's primary taxonomy code is Preventive Medicine (2083X0100X). The provider is registered as an individual and their NPI record was last updated 5 years ago.

NPI1003004524 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameDR. CHRISTINE MARIE CISNEROS M.D.
Provider Location Address700 E BEARDSLEY AVE STE 100 ELKHART, IN 46514 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address2760 EMBER WAY ANN ARBOR, MI 48104 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
GenderFemale
NPI Entity TypeIndividual Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?Yes
Is Organization Subpart?N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date10-10-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date07-29-2012 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

DR. CHRISTINE MARIE CISNEROS M.D.
700 E BEARDSLEY AVE
STE 100
ELKHART, IN
ZIP 46514
Phone: (574) 206-8010
Get Directions

Mailing Address

DR. CHRISTINE MARIE CISNEROS M.D.
2760 EMBER WAY
ANN ARBOR, MI
ZIP 48104
Phone: (734) 913-0949

Primary Taxonomy

Taxonomy Code2083X0100X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationPreventive Medicine
TypeAllopathic & Osteopathic Physicians
SpecializationOccupational Medicine
License No.4301407270
License StateMI
Taxonomy DescriptionOccupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability.

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMM4301407270MINo

Taxonomy Description: the Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients.

2204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMM036-108497ILNo

Taxonomy Description: the Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
700H231390OTHER (01)MI
0P47270MEDICARE PIN (08)MI

Map Location


DR. CHRISTINE MARIE CISNEROS M.D. address is 700 E BEARDSLEY AVE STE 100 ELKHART, IN 46514

Other Providers at the same location


The following 7 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1043307937 KELLI BECKER PTA
Individual
Physical Therapy Assistant700 E BEARDSLEY AVE STE 100
ELKHART, IN 46514
(574) 206-8010
1154445831DR. JOSEPH E FERNANDO M.D.
Individual
Preventive Medicine (Occupational Medicine)700 E BEARDSLEY AVE SUITE 100
ELKHART, IN 46514
(574) 206-8010
1306911060 JILL HUFFMAN PTA
Individual
Physical Therapy Assistant700 E BEARDSLEY AVE STE 100
ELKHART, IN 46514
(574) 206-8010
1568559599 ALLEN BLACKMAN PA-C
Individual
Physician Assistant (Medical)700 E BEARDSLEY AVE
ELKHART, IN 46514
(574) 206-8010
1669740122 DEBRA DIANE BENDER P.T.A.
Individual
Physical Therapy Assistant700 E BEARDSLEY AVE SUITE 100
ELKHART, IN 46514
(574) 206-8010
1912458662U.S. HEALTHWORKS MEDICAL GROUP OF INDIANA, PC
Organization
Clinic/Center (Urgent Care)700 E BEARDSLEY AVE SUITE100
ELKHART, IN 46514
(574) 206-8010
1942626635 KAITLIN PUTT
Individual
Speech-Language Pathologist700 E BEARDSLEY AVE
ELKHART, IN 46514
(574) 293-2813