Provider Demographics
NPI:1518922442
Name:SPIEGEL, CHRISTINA N (PA-C)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:N
Last Name:SPIEGEL
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 N FRANKLIN DR
Mailing Address - Street 2:SUITE 1A
Mailing Address - City:WASHINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:15301-5892
Mailing Address - Country:US
Mailing Address - Phone:412-432-5863
Mailing Address - Fax:412-442-8860
Practice Address - Street 1:125 N FRANKLIN DR
Practice Address - Street 2:SUITE 1A
Practice Address - City:WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:15301-5892
Practice Address - Country:US
Practice Address - Phone:412-432-5863
Practice Address - Fax:412-442-8860
Is Sole Proprietor?:No
Enumeration Date:2006-04-20
Last Update Date:2017-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA050941363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA121929Medicare PIN
PAP91273Medicare UPIN
PA070500RT6Medicare PIN
PAP00027840Medicare PIN