Individual provider · Type 1 NPI

Christina M. Ide, PA

Medical Physician Assistant · Charlottesville, VA

NPI number 1376718841 Active

Practice location

1240 Lee St
Charlottesville, VA 22908-2350

Fax (434) 244-7526

Mailing address

PO Box 749112
Atlanta, GA 30374-9112

Other practice locations

  • 1215 Lee St, Charlottesville, VA 22908-2350 · (434) 924-9333

Specialties and licenses

TaxonomyCodeLicense
Hematology & Oncology Physician 207RH0003X0110003111 (VA)
Medical Physician Assistant Primary 363AM0700X0110003111 (VA)

Medical Physician Assistant: Definition to come...

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About NPI 1376718841

Christina M. Ide, PA's National Provider Identifier is 1376718841, issued on Apr 25, 2008. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Charlottesville, VA. The record was last updated on Sep 30, 2026.