Provider Demographics
NPI:1669489829
Name:WAGENER, CHRISTOPHER FRANK (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:FRANK
Last Name:WAGENER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2775 SCHOENERSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18017-7307
Mailing Address - Country:US
Mailing Address - Phone:610-861-8080
Mailing Address - Fax:610-807-0366
Practice Address - Street 1:2775 SCHOENERSVILLE RD
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18017-7307
Practice Address - Country:US
Practice Address - Phone:610-861-8080
Practice Address - Fax:610-807-0366
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2008-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD431921207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
110545OtherGEISINGER HEALTH PLAN
7296913OtherAETNA PPO
1651389OtherAETNA HMO
2849352000OtherAMERIHEALTH
50070229OtherKEYSTONE HEALTH CENTRAL
PA1967875OtherHIGHMARK BLUE SHIELD
2849352000OtherINDEPENDENCE BLUE CROSS
50070229OtherCAPITAL BLUE CROSS
695321OtherHEALTH AMERICA/HEALTH ASS
P00447636OtherRAILROAD MEDICARE
2685022OtherUNITED HEALTHCARE
2849352000OtherKEYSTONE HEALTH EAST
9127625OtherCIGNA HEALTHCARE
2849352000OtherINDEPENDENCE BLUE CROSS
PA112098Medicare PIN