Mr. Christopher John Gordon Chisholm
Pain Medicine (Interventional Pain Medicine)

Address: 15725 Pomerado Rd, Suite 107, Poway, CA 92064-2068
Phone: 8584537700

Mr. Christopher John Gordon Chisholm (NPI# 1538173950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1538173950
Entity Type Individual
Full Name Mr. Christopher John Gordon Chisholm
Credential M.D.
Gender Male
Practice Address 15725 Pomerado Rd
Suite 107
Poway
CA 92064-2068
Practice Telephone 8584537700
Practice Fax Number 8589473828
Mailing Address Po Box 501724
San Diego
CA 92150-1724
Mailing Telephone 6198941975
Mailing Fax Number 8587981225
Sole Proprietor Yes, this individual is a Sole Proprietor
Enumeration Date 2006-07-28
Last Update Date 2018-07-12

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
No 208VP0000X Pain Medicine · Pain Medicine Allopathic & Osteopathic Physicians A86646 CA
Yes 208VP0014X Pain Medicine · Interventional Pain Medicine Allopathic & Osteopathic Physicians A86646 CA

Other Providers CHRISTOPHER CHISHOLM

NPI Name Taxonomy Address Enumeration
1407836075 Christopher Boyd Chisholm Emergency Medicine Us Naval Hospital Guam, Farenholt Ave Bld K1, Agana Heights, GU 96919-7829 2006-01-19

Physician Overview

NPI 1538173950
PAC ID by PECOS 3577534593
Professional Enrollment ID I20040803001711
Full Name Christopher John Gordon Chisholm
Organization Legal Name GRAYBILL MEDICAL GROUP INC
Phone Number 8584537700
Gender M
Credential MD
Medical School UMDNJ-NEW JERSEY MEDICAL SCHOOL
Graduation Year 2000
Primary Specialty INTERVENTIONAL PAIN MANAGEMENT
Secondary Specialties ANESTHESIOLOGY
Group Practice PAC ID 9335050517
Number of Group Practice Members 74
Accepts Medicare Assignment Y
Report Quality Measures Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
050636 POMERADO HOSPITAL

Office Location

Street Address 15725 POMERADO RD
SUITE 107
City POWAY
State CA
Zip Code 92064-2068

Providers in the same location

NPI Name Taxonomy Address Enumeration
1710973862 Maria G. Aceves Physician Assistant 15725 Pomerado Rd, Suite 107, Poway, CA 92064-2068 2005-09-23
1649710393 Brian Lin Quach Physical Therapist 15725 Pomerado Rd, Suite 115, Poway, CA 92064-2068 2017-02-28
1649626490 Valeri Sacknoff D D S Inc Dentist 15725 Pomerado Rd, Ste 110, Poway, CA 92064-2068 2016-05-11
1699100370 Heather Preber Dentist 15725 Pomerado Rd, Suite 204, Poway, CA 92064-2068 2013-09-12
1164772059 Benjamin Millard Smith Physical Therapist 15725 Pomerado Rd, Suite 115, Poway, CA 92064-2068 2012-09-18
1518247113 Vicki Suzanne Dehner Physical Therapist 15725 Pomerado Rd, Suite 115, Poway, CA 92064-2068 2011-08-26
1306134242 Michelle Joan Schiewe Physical Therapist 15725 Pomerado Rd, Suite 106, Poway, CA 92064-2068 2011-07-13
1205163375 Karen Denise Gold Physical Therapist 15725 Pomerado Rd, Suite 106, Poway, CA 92064-2068 2009-11-11
1265628309 Family Allergy, Asthma, Immunology & Sinus Center P.C. Allergy & Immunology 15725 Pomerado Rd, 103, Poway, CA 92064-2068 2007-09-21
1942400692 Cpms Medical Group, Inc. Pain Medicine 15725 Pomerado Rd, Suite 107, Poway, CA 92064-2068 2007-07-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205306842 Angelita Fuentes Behavior Technician 12975 Brookprinter Place Suite 250, Poway, CA 92064 2018-11-27
1720576671 Jodi A Mcgrady Dmd, Ms, Adc Dentist 12350 Oak Knoll Rd, Poway, CA 92064 2018-04-26
1023518768 Neighborhood Healthcare General Practice 13010 Poway Road, Poway, CA 92064 2018-02-20
1669918165 Restore Detox Centers Substance Abuse Rehabilitation Facility 14099 Sky Mountain Trail, Poway, CA 92064 2017-01-09
1205382561 Nightingale Meyou Pharmacist 5615 Pomerado Rd, Poway, CA 92064 2016-08-28
1578017232 Elan Lee Dentist 13035 Pomerado Road Suite B, Poway, CA 92064 2016-08-11
1053789529 Karen Thatcher Britton Psychiatry & Neurology 13755 Paseo Bonita, Poway, CA 92064 2015-09-14
1710304084 Cynthia Dalton Dental Hygienist 13668 Hilleary Place, #148, Poway, CA 92064 2014-03-25
1073935912 Bruce B. Baker Dmd Apdc Dentist 13422-201 Pomerado Rd., Poway, CA 92064 2014-01-13
1801223896 Collin Silas Smith Podiatrist 15706 Pomerado Rd Ste S-102, Poway, CA 92064 2013-10-04
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Taxonomy Information

Taxonomy Code 208VP0014X
Grouping Allopathic & Osteopathic Physicians
Classification Pain Medicine
Specialization Interventional Pain Medicine

Taxonomy Definition

Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1144781519 Central Coast Functional Restoration Program Inc Pain Medicine 1260 41st Ave Ste D, Capitola, CA 95010-3929 2019-03-28
1497226419 Birladeanu Medical Corp Pain Medicine 5255 Elkhorn Blvd Ste A, Sacramento, CA 95842-2506 2018-12-17
1811471659 Pacific Pain Medical Group, Inc Pain Medicine 707 S Garfield Ave Ste 304, Alhambra, CA 91801-5861 2018-09-18
1609350669 Edgar Celis Md Inc Pain Medicine 1050 Northgate Dr Ste 460, San Rafael, CA 94903-2542 2018-09-17
1558858035 Hullander and Mozingo Lp Pain Medicine 1551 Bishop St Ste 220, San Luis Obispo, CA 93401-4661 2018-04-19
1215437249 Jason Edward Pope Md Inc Pain Medicine 416 Aviation Blvd Ste B, Santa Rosa, CA 95403-1032 2018-02-16
1033649413 Latora Subani Pain Medicine 16179 Siskiyou Rd, Apple Valley, CA 92307-1314 2017-06-18
1992232581 Peyman Gravori, D.o. Inc., A Professional Medical Corporation Pain Medicine 16311 Ventura Blvd Ste 1065-b, Encino, CA 91436-2124 2017-05-15
1447708987 Sherman Oaks Pain and Spine Institute Inc Pain Medicine 4911 Van Nuys Blvd Ste 307, Sherman Oaks, CA 91403-1751 2016-09-13
1982061354 Foothil Center for Pain Management Pain Medicine 39 Congress St Ste 303, Pasadena, CA 91105-3022 2016-01-15
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Competitor

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City POWAY
Zip Code 92064

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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