Provider Demographics
NPI:1245222967
Name:HAWKINS, CHRISTOPHER A (MD)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:A
Last Name:HAWKINS
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 1:1900 COOKS HILL RD
Mailing Address - Street 2:
Mailing Address - City:CENTRALIA
Mailing Address - State:WA
Mailing Address - Zip Code:98531-9073
Mailing Address - Country:US
Mailing Address - Phone:360-330-1874
Mailing Address - Fax:610-973-1778
Practice Address - Street 1:1900 COOKS HILL RD
Practice Address - Street 2:
Practice Address - City:CENTRALIA
Practice Address - State:WA
Practice Address - Zip Code:98531-9073
Practice Address - Country:US
Practice Address - Phone:360-330-1874
Practice Address - Fax:610-973-1778
Is Sole Proprietor?:No
Enumeration Date:2005-08-18
Last Update Date:2021-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD073836L207X00000X, 207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0018596880002Medicaid
PA7247879001OtherCIGNA
PA77794OtherGEISINGER
PA01199401OtherBLUE CROSS
PA1306180OtherBLUE SHIELD
PA200043309OtherRAILROAD MEDICARE
PA7660247OtherAETNA
PAP3157995OtherOXFORD
PA1306180OtherKEYSTONE CENTRAL
PA1306180OtherAMERIHEALTH ADMINISTRATOR
PA8212444OtherFIRST PRIORITY HEALTH
PA0974321000OtherKEYSTONE EAST
PA1306180OtherKEYSTONE CENTRAL
PA0018596880002Medicaid