Healthcare Provider Details

I. General information

NPI: 1568573236
Provider Name (Legal Business Name): CHRISTOPHER M HUGHES MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 09/17/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

104 CHERRYWOOD CT
MC MURRAY PA
15317-3500
US

IV. Provider business mailing address

104 CHERRYWOOD CT
MC MURRAY PA
15317-3500
US

V. Phone/Fax

Practice location:
  • Phone: 724-942-6351
  • Fax:
Mailing address:
  • Phone: 724-942-6351
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License NumberMD039044E
License Number StatePA

VII. Legacy identifiers

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

# 1
Identifier0012123750002
Identifier TypeMEDICAID
Identifier StatePA
Identifier Issuer
# 2
Identifier617493
Identifier TypeOTHER
Identifier StatePA
Identifier IssuerHIGHMARK BLUE SHIELD
# 3
Identifier000000064443
Identifier TypeOTHER
Identifier StatePA
Identifier IssuerUNISON
# 4
Identifier1013715
Identifier TypeOTHER
Identifier StatePA
Identifier IssuerGATEWAY HEALTH PLAN
# 5
Identifier250456
Identifier TypeOTHER
Identifier StatePA
Identifier IssuerUPMC HEALTH PLAN
# 6
Identifier110073936
Identifier TypeOTHER
Identifier StatePA
Identifier IssuerRAILROAD MEDICARE
# 7
Identifier220005
Identifier TypeOTHER
Identifier StatePA
Identifier IssuerHEALTH AMERICA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: