Provider Demographics
NPI:1124090105
Name:NEHER, CHRISTOPHER GRANT (MD)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:GRANT
Last Name:NEHER
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 1:1100 REID PKWY
Mailing Address - Street 2:MEDICAL STAFF SERVICES
Mailing Address - City:RICHMOND
Mailing Address - State:IN
Mailing Address - Zip Code:47374-1157
Mailing Address - Country:US
Mailing Address - Phone:765-935-8905
Mailing Address - Fax:765-939-4200
Practice Address - Street 1:1400 HIGHLAND RD
Practice Address - Street 2:SUITE 1
Practice Address - City:RICHMOND
Practice Address - State:IN
Practice Address - Zip Code:47374-8810
Practice Address - Country:US
Practice Address - Phone:765-935-8905
Practice Address - Fax:765-939-4200
Is Sole Proprietor?:No
Enumeration Date:2006-02-03
Last Update Date:2021-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35075124N207X00000X
IN01055457A207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2380114Medicaid
IN200372390Medicaid
000000767709OtherANTHEM (BCBS)
INM400069595Medicare PIN
000000767709OtherANTHEM (BCBS)