Provider Demographics
NPI:1669402137
Name:PEER, CHRISTOPHER W (MD)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:W
Last Name:PEER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3651 COLLEGE BLVD STE 100A
Mailing Address - Street 2:
Mailing Address - City:LEAWOOD
Mailing Address - State:KS
Mailing Address - Zip Code:66211-1910
Mailing Address - Country:US
Mailing Address - Phone:913-319-7500
Mailing Address - Fax:913-319-7691
Practice Address - Street 1:3651 COLLEGE BLVD STE 100A
Practice Address - Street 2:
Practice Address - City:LEAWOOD
Practice Address - State:KS
Practice Address - Zip Code:66211-1910
Practice Address - Country:US
Practice Address - Phone:913-319-7500
Practice Address - Fax:913-319-7691
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2021-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT0420011001207X00000X
KS04-31227207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT00069377OtherBLUE SHIELD
VT1012828Medicaid
VTP00332392OtherRAILROAD MEDICARE
VT390541OtherMVP
VT0572880002OtherDME
VT0572880002OtherDME
VT1012828Medicaid