Provider Demographics
NPI:1679518807
Name:HAGER, CHRISTOPHER L (MD)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:L
Last Name:HAGER
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 1:605 RICHMOND DR STE 107
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601-8819
Mailing Address - Country:US
Mailing Address - Phone:717-500-6682
Mailing Address - Fax:717-544-5001
Practice Address - Street 1:605 RICHMOND DR STE 107
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-8819
Practice Address - Country:US
Practice Address - Phone:717-500-6682
Practice Address - Fax:717-544-5001
Is Sole Proprietor?:No
Enumeration Date:2006-06-19
Last Update Date:2020-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD427604207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA50060202OtherCAPITAL BLUE CROSS
PA50061886OtherCAPITAL BLUE CROSS
PA50061907OtherCAPITAL BLUE CROSS
PA1016458530001Medicaid
PAP008053OtherGATEWAY HEALTH PLAN
PA107752 S1QFOtherGEISINGER HEALTH PLAN
PA1388651OtherAETNA HMO
PA7649833OtherAETNA NON-HMO
PA1874601OtherHIGHMARK BLUE SHIELD
PAI54576OtherHEALTH AMERICA
PA7649833OtherAETNA NON-HMO
PAI54576Medicare UPIN
PA107752 S1QFOtherGEISINGER HEALTH PLAN