Healthcare Provider Details

I. General information

NPI: 1003888579
Provider Name (Legal Business Name): CHRISTINE MARY HANNA BEILER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CHRISTINE MARY HANNA MD

II. Dates (important events)

Enumeration Date: 02/07/2006
Last Update Date: 01/16/2025
Certification Date: 01/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

51 PETERS ROAD SUITE 202
LITITZ PA
17543-7685
US

IV. Provider business mailing address

51 PETERS RD
LITITZ PA
17543-7685
US

V. Phone/Fax

Practice location:
  • Phone: 717-569-6481
  • Fax:
Mailing address:
  • Phone: 717-569-6481
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD418754
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier50000050
Identifier TypeOTHER
Identifier StatePA
Identifier IssuerCAPITAL BLUE CROSS
# 2
Identifier72741 S1BX
Identifier TypeOTHER
Identifier StatePA
Identifier IssuerGEISINGER HEALTH PLAN
# 3
Identifier20016203
Identifier TypeOTHER
Identifier StatePA
Identifier IssuerAMERIHEALTH MERCY HEALTH
# 4
IdentifierP002580
Identifier TypeOTHER
Identifier StatePA
Identifier IssuerGATEWAY HEALTH PLAN
# 5
Identifier1386786
Identifier TypeOTHER
Identifier StatePA
Identifier IssuerHIGHMARK BLUE SHIELD
# 6
Identifier2925856
Identifier TypeOTHER
Identifier StatePA
Identifier IssuerAETNA HMO
# 7
Identifier0018849020001
Identifier TypeMEDICAID
Identifier StatePA
Identifier Issuer
# 8
Identifier7984353
Identifier TypeOTHER
Identifier StatePA
Identifier IssuerAETNA NON-HMO
# 9
IdentifierH55977
Identifier TypeOTHER
Identifier StatePA
Identifier IssuerHEALTH ASSURANCE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: