Provider Demographics
NPI:1164442463
Name:MCKAIN, CHRISTINE C (MD)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:C
Last Name:MCKAIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:941 MARKET ST
Mailing Address - Street 2:
Mailing Address - City:PIKETON
Mailing Address - State:OH
Mailing Address - Zip Code:45661-9757
Mailing Address - Country:US
Mailing Address - Phone:740-289-2371
Mailing Address - Fax:740-289-3545
Practice Address - Street 1:7777 US HIGHWAY 23
Practice Address - Street 2:
Practice Address - City:PIKETON
Practice Address - State:OH
Practice Address - Zip Code:45661-9102
Practice Address - Country:US
Practice Address - Phone:740-289-3508
Practice Address - Fax:740-289-8951
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2022-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35069988207P00000X
OH35.069988207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000376516OtherANTHEM
OH000000552747OtherANTHEM/BCBS
OH0225643Medicaid
OH000000546837OtherANTHEM/BCBS
OH311072406007OtherMEDICAL MUTUAL OF OHIO
OH3901805OtherUHC
KY64956352Medicaid
G08371Medicare UPIN
OH0799228Medicare PIN
OH000000546837OtherANTHEM/BCBS
OH0225643Medicaid
KY64956352Medicaid