Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 036097885 | IL |
Y | 207VG0400X | Gynecologist | 036097885 | IL |
N | 207VX0000X | Obstetrician | 036097885 | IL |
NPI | 1306825856 |
---|---|
Provider Name | Christina L Midkiff |
First Address | Maryville, IL 62062-5631 |
Second Address | Maryville, IL 62062-5631 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/01/2006 |
Last Update Date | 15/12/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
036097885 | (05) | IL |
115738 | BLUE CROSS MISSOURI (01) | MO |
205854306 | CIGNA (01) | IL |
205854306 | TRICARE (01) | IL |
205854306 | UNITED HEALTHCARE (01) | IL |
214530 | MEDICARE GROUP NUMBER (01) | IL |
253075 | HARMONY (01) | IL |
296498 | GHP (01) | IL |
387145 | HEALTHLINK (01) | IL |
5861603 | AETNA (01) | IL |
6032205 | BLUE CROSS OF ILLINOIS (01) | IL |
G81116 | (02) | IL |
P00399401 | RAILROAD MEDICARE (01) | IL |