Active NPI
Carla J. Christy, MD
- Surgery Physician
- Harrisburg, PA
National Provider Identifier
1083875983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD428587
- Practice address
- 4300 Londonderry Rd
Suite 202
Harrisburg, PA 17109-5317 - Phone
- (717) 545-5000
- Fax
- (717) 545-5002
- NPI assigned
- Jun 23, 2008
- Last updated
- May 6, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD428587 | PA | Primary |
| Surgical Oncology Physician | 2086X0206X | 045685 | CT | |
| Surgical Oncology Physician | 2086X0206X | MD428587 | PA |
Addresses
Primary practice location
4300 Londonderry Rd
Suite 202
Harrisburg, PA 17109-5317
Mailing address
118 Washington Street
Harrisburg, PA 17104-1677
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102319412 0001 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD428587 | PA | MD | Surgical Oncology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304640000000",
"number": "1083875983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "118 WASHINGTON STREET",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171041677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4300 LONDONDERRY RD",
"address_2": "SUITE 202",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171095317",
"telephone_number": "717-545-5000",
"fax_number": "717-545-5002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHRISTY",
"first_name": "CARLA",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-23",
"last_updated": "2011-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "PA",
"license": "MD428587",
"primary": true
},
{
"code": "2086X0206X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Oncology",
"state": "CT",
"license": "045685",
"primary": false
},
{
"code": "2086X0206X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Oncology",
"state": "PA",
"license": "MD428587",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102319412 0001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Harrisburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.