Provider Demographics
NPI:1154311959
Name:HUNTER, CHRISTOPHER CARROLL (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:CARROLL
Last Name:HUNTER
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 1:6600 S YALE AVE STE 1400
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74136-3331
Mailing Address - Country:US
Mailing Address - Phone:888-247-0125
Mailing Address - Fax:918-502-8210
Practice Address - Street 1:26300 S HIGHWAY 125
Practice Address - Street 2:
Practice Address - City:AFTON
Practice Address - State:OK
Practice Address - Zip Code:74331-6282
Practice Address - Country:US
Practice Address - Phone:918-257-8585
Practice Address - Fax:918-257-8560
Is Sole Proprietor?:No
Enumeration Date:2005-10-24
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK20150207PE0004X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100168180AMedicaid
OK100168180AMedicaid
OK249424704Medicare PIN
OKP00389533Medicare PIN