Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | MD073836L | PA |
Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | MD073836L | PA |
NPI | 1245222967 |
---|---|
Provider Name | Christopher A Hawkins |
First Address | Centralia, WA 98531-9073 |
Second Address | Centralia, WA 98531-9073 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/08/2005 |
Last Update Date | 27/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0018596880002 | (05) | PA |
01199401 | BLUE CROSS (01) | PA |
0974321000 | KEYSTONE EAST (01) | PA |
1306180 | AMERIHEALTH ADMINISTRATOR (01) | PA |
1306180 | BLUE SHIELD (01) | PA |
1306180 | KEYSTONE CENTRAL (01) | PA |
200043309 | RAILROAD MEDICARE (01) | PA |
7247879001 | CIGNA (01) | PA |
7660247 | AETNA (01) | PA |
77794 | GEISINGER (01) | PA |
8212444 | FIRST PRIORITY HEALTH (01) | PA |
H24163 | (02) | PA |
P3157995 | OXFORD (01) | PA |