Provider Demographics
NPI:1538107644
Name:PLUMMER, CHRISTOPHER P (DO)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:P
Last Name:PLUMMER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 S 2ND ST STE 4B
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17101-2546
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:100 S 2ND ST STE 4B
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17101-2546
Practice Address - Country:US
Practice Address - Phone:717-231-8473
Practice Address - Fax:717-231-8490
Is Sole Proprietor?:No
Enumeration Date:2006-06-02
Last Update Date:2021-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS013104207VG0400X
NY223790207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
No207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1010233520004Medicaid
PA1632715OtherHIGHMARK BLUE SHIELD
NYA400028010OtherMEDICARE PTAN
PA51069631OtherKEYSTONE
PA1010233520004Medicaid
PAI1140Medicare UPIN