Provider Demographics
NPI:1538149471
Name:PINGITORE, CHRISTOPHER GERARD (DPM)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:GERARD
Last Name:PINGITORE
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28 YARMOUTH CROSSING DR
Mailing Address - Street 2:
Mailing Address - City:YARMOUTH
Mailing Address - State:ME
Mailing Address - Zip Code:04096-6741
Mailing Address - Country:US
Mailing Address - Phone:207-846-0802
Mailing Address - Fax:207-512-1233
Practice Address - Street 1:28 YARMOUTH CROSSING DR
Practice Address - Street 2:
Practice Address - City:YARMOUTH
Practice Address - State:ME
Practice Address - Zip Code:04096-6741
Practice Address - Country:US
Practice Address - Phone:207-846-0802
Practice Address - Fax:207-512-1233
Is Sole Proprietor?:No
Enumeration Date:2006-01-18
Last Update Date:2024-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPOD1019213ES0103X, 213ES0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
No213ES0000XPodiatric Medicine & Surgery Service ProvidersPodiatristSports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME219370099Medicaid
ME480023965OtherRAIL ROAD MEDICARE
MELX0482Medicare PIN
MEU66174Medicare UPIN
MEMM6839Medicare PIN
ME480023965OtherRAIL ROAD MEDICARE