Provider Demographics
NPI:1659347003
Name:PUTNEY, CHRISTOPHER J (MD)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:J
Last Name:PUTNEY
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 1:1135 HAMPDEN DR
Mailing Address - Street 2:
Mailing Address - City:STRASBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17579-1123
Mailing Address - Country:US
Mailing Address - Phone:717-687-0313
Mailing Address - Fax:717-687-3604
Practice Address - Street 1:1135 HAMPDEN DR
Practice Address - Street 2:
Practice Address - City:STRASBURG
Practice Address - State:PA
Practice Address - Zip Code:17579-1123
Practice Address - Country:US
Practice Address - Phone:717-687-0313
Practice Address - Fax:717-687-3604
Is Sole Proprietor?:No
Enumeration Date:2006-02-27
Last Update Date:2007-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMDO61345L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA5918536OtherAETNA NON-HMO
PA0016502420007Medicaid
PA30085 S1QJOtherGEISINGER HEALTH PLAN
PA868371OtherAETNA HMO
PA958060OtherHIGHMARK BLUE SHIELD
PA0016502420012Medicaid
PA02219702OtherCAPITAL BLUE CROSS
PAG59657OtherHEALTH ASSURANCE
PAP002752OtherGATEWAY HEALTH PLAN
PA0016502420004Medicaid
PAP002752OtherGATEWAY HEALTH PLAN
PA958060OtherHIGHMARK BLUE SHIELD