Basic Information
| Provider Information | |||||||||
| NPI: | 1679518807 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HAGER | ||||||||
| FirstName: | CHRISTOPHER | ||||||||
| MiddleName: | L | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 605 RICHMOND DR STE 107 | ||||||||
| Address2: | |||||||||
| City: | LANCASTER | ||||||||
| State: | PA | ||||||||
| PostalCode: | 176018819 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7175006682 | ||||||||
| FaxNumber: | 7175445001 | ||||||||
| Practice Location | |||||||||
| Address1: | 605 RICHMOND DR STE 107 | ||||||||
| Address2: | |||||||||
| City: | LANCASTER | ||||||||
| State: | PA | ||||||||
| PostalCode: | 176018819 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7175006682 | ||||||||
| FaxNumber: | 7175445001 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/19/2006 | ||||||||
| LastUpdateDate: | 08/24/2020 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 08/24/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | MD427604 | PA | Y | Allopathic & Osteopathic Physicians | Family Medicine |
ID Information
| ID | Type | State | Issuer | Description | 50060202 | 01 | PA | CAPITAL BLUE CROSS | OTHER | 50061886 | 01 | PA | CAPITAL BLUE CROSS | OTHER | 50061907 | 01 | PA | CAPITAL BLUE CROSS | OTHER | 1016458530001 | 05 | PA | MEDICAID | P008053 | 01 | PA | GATEWAY HEALTH PLAN | OTHER | 107752 S1QF | 01 | PA | GEISINGER HEALTH PLAN | OTHER | 1388651 | 01 | PA | AETNA HMO | OTHER | 7649833 | 01 | PA | AETNA NON-HMO | OTHER | 1874601 | 01 | PA | HIGHMARK BLUE SHIELD | OTHER | I54576 | 01 | PA | HEALTH AMERICA | OTHER |