Provider Demographics
NPI:1568573236
Name:HUGHES, CHRISTOPHER M (MD)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:M
Last Name:HUGHES
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 1:104 CHERRYWOOD CT
Mailing Address - Street 2:
Mailing Address - City:MC MURRAY
Mailing Address - State:PA
Mailing Address - Zip Code:15317-3500
Mailing Address - Country:US
Mailing Address - Phone:724-942-6351
Mailing Address - Fax:
Practice Address - Street 1:104 CHERRYWOOD CT
Practice Address - Street 2:
Practice Address - City:MC MURRAY
Practice Address - State:PA
Practice Address - Zip Code:15317-3500
Practice Address - Country:US
Practice Address - Phone:724-942-6351
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2010-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD039044E207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0012123750002Medicaid
PA617493OtherHIGHMARK BLUE SHIELD
PA000000064443OtherUNISON
PA1013715OtherGATEWAY HEALTH PLAN
PA250456OtherUPMC HEALTH PLAN
PA110073936OtherRAILROAD MEDICARE
PA220005OtherHEALTH AMERICA
PA1013715OtherGATEWAY HEALTH PLAN
PA110073936OtherRAILROAD MEDICARE