Provider Demographics
NPI:1790723807
Name:STABLER, CHRISTINE M (MD)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:M
Last Name:STABLER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:175 S. CENTERVILLE ROAD
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17603-9733
Mailing Address - Country:US
Mailing Address - Phone:717-299-4644
Mailing Address - Fax:717-390-2916
Practice Address - Street 1:175 S. CENTERVILLE ROAD
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17603-9733
Practice Address - Country:US
Practice Address - Phone:717-299-4644
Practice Address - Fax:717-390-2916
Is Sole Proprietor?:No
Enumeration Date:2006-06-02
Last Update Date:2025-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD025170E207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAP002761OtherGATEWAY
PA000980780 0005Medicaid
PA5947353OtherAETNA-NON HMO
PA20038878OtherMERCY
PA0038352000OtherINDEPENDENCE BLUE CROSS
PA000000138663-HBPOtherUNISON
PA1419124OtherAETNA-HMO
PA30013094OtherKEYSTONE MERCY
PA50056065OtherCAPITAL BLUE CROSS/KEYSTONE HEALTH PLAN CENTRAL
PA080073251OtherRR MEDICARE
PA000100026OtherHIGHMARK
PA000000127946-PCPOtherUNISON
PA172660OtherHEALTHAMERICA
PA1419124OtherAETNA-HMO
PA100026Medicare ID - Type Unspecified