Provider Demographics
NPI:1164450045
Name:ECHTERLING, CHRISTOPHER KENT (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:KENT
Last Name:ECHTERLING
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1803 MOUNT ROSE AVE
Mailing Address - Street 2:SUITE B3
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17403-3026
Mailing Address - Country:US
Mailing Address - Phone:717-851-1405
Mailing Address - Fax:717-851-3498
Practice Address - Street 1:605 S GEORGE ST
Practice Address - Street 2:SUITE 200
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403-3160
Practice Address - Country:US
Practice Address - Phone:717-851-2334
Practice Address - Fax:717-851-3498
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2016-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD054045L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA297611OtherMAMSI YH
PA30119046OtherAMERIHEALTH MERCY - WBTH
PA785255OtherHIGHMARK BLUE SHIELD
PA02120901OtherCAPITAL BC-YH (IM)
PA44526OtherGEISINGER YH
PA32654OtherJOHNS HOPKINS
PA80836OtherUNISON YH
PA001522117Medicaid
PA50049593OtherCAPITAL BC-YH (PEDS)
PA5704446OtherAETNA YH
MD614035OtherCAREFIRST MD BS-YH
PAP002850OtherGATEWAY YH
PA080182764OtherRAILROAD MEDICARE
PA1145647OtherAMERIHEALTH MERCY YH
PA080182764OtherRAILROAD MEDICARE
PAG09337Medicare UPIN
PA001522117Medicaid