Provider Demographics
NPI:1821061896
Name:ANTHONY, CHRISTOPHER (MD)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:
Last Name:ANTHONY
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 1:555 N. DUKE ST.
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17604
Mailing Address - Country:US
Mailing Address - Phone:717-544-5511
Mailing Address - Fax:
Practice Address - Street 1:555 N. DUKE ST.
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17604
Practice Address - Country:US
Practice Address - Phone:717-544-5511
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-09
Last Update Date:2011-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD01823E246Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246Q00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0038763000OtherINDEPENDENCE BLUE CROSS
PA30014308OtherGEISINGER HEALTH PLAN
PA1537626OtherGATEWAY
PA220021410OtherMEDICARE - RAILROAD
PA30014308OtherKEYSTONE MERCY
PA50056029OtherCAPITAL BLUE CROSS
PA000180146OtherAMERIHEALTH MERCY
PA000955062 0001Medicaid
PA000000126591OtherUNISON
PA000180146OtherHIGHMARK
PA50056029OtherKEYSTONE HEALTH PLAN CENTRAL
PA5281133OtherAETNA - NON HMO
PA846439OtherAETNA - HMO
PA000180146OtherAMERIHEALTH MERCY
PA220021410OtherMEDICARE - RAILROAD