Basic Information
| Provider Information | |||||||||
| NPI: | 1164450045 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ECHTERLING | ||||||||
| FirstName: | CHRISTOPHER | ||||||||
| MiddleName: | KENT | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1803 MOUNT ROSE AVE | ||||||||
| Address2: | SUITE B3 | ||||||||
| City: | YORK | ||||||||
| State: | PA | ||||||||
| PostalCode: | 174033026 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7178511405 | ||||||||
| FaxNumber: | 7178513498 | ||||||||
| Practice Location | |||||||||
| Address1: | 605 S GEORGE ST | ||||||||
| Address2: | SUITE 200 | ||||||||
| City: | YORK | ||||||||
| State: | PA | ||||||||
| PostalCode: | 174033160 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7178512334 | ||||||||
| FaxNumber: | 7178513498 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/29/2006 | ||||||||
| LastUpdateDate: | 06/13/2016 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | MD054045L | PA | Y | Allopathic & Osteopathic Physicians | Family Medicine |
ID Information
| ID | Type | State | Issuer | Description | 297611 | 01 | PA | MAMSI YH | OTHER | 30119046 | 01 | PA | AMERIHEALTH MERCY - WBTH | OTHER | 785255 | 01 | PA | HIGHMARK BLUE SHIELD | OTHER | 02120901 | 01 | PA | CAPITAL BC-YH (IM) | OTHER | 44526 | 01 | PA | GEISINGER YH | OTHER | 32654 | 01 | PA | JOHNS HOPKINS | OTHER | 80836 | 01 | PA | UNISON YH | OTHER | 001522117 | 05 | PA | MEDICAID | 50049593 | 01 | PA | CAPITAL BC-YH (PEDS) | OTHER | 5704446 | 01 | PA | AETNA YH | OTHER | 614035 | 01 | MD | CAREFIRST MD BS-YH | OTHER | P002850 | 01 | PA | GATEWAY YH | OTHER | 080182764 | 01 | PA | RAILROAD MEDICARE | OTHER | 1145647 | 01 | PA | AMERIHEALTH MERCY YH | OTHER |