Organization Active NPI

Cherry Tree Physician Associates PC

  • Radiation Oncology Physician
  • Hanover, PA
National Provider Identifier
1770569147
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
Legal business name
CHERRY TREE PHYSICIAN ASSOCIATES PC
Practice address
773 Cherry Tree CT
Hanover, PA 17331-7902
Phone
(717) 741-8100
NPI assigned
Dec 19, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Debra Kleyhauer
Title
Director
Phone
(717) 741-8100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0001X PA Primary

Addresses

Primary practice location

773 Cherry Tree CT
Hanover, PA 17331-7902

Mailing address

1020A E Boal Ave
Boalsburg, PA 16827-1509
Phone (814) 237-8627

Other identifiers 7

IdentifierTypeStateIssuer
122452OtherPATHREE RIVERS HEALTH PLAN
1525714OtherPAGATEWAY
0017303250002MedicaidPA
2586800OtherPACAPITAL BC
263000OtherPAMAMSI
383789OtherPABCBS HIGHMARK
993971OtherPAKEYSTONE HPC

National Provider Directory

National Provider Directory

Locations

773 Cherry Tree Ct
Hanover, PA 17331
Phone (717) 633-9573

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1134950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1770569147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020A E BOAL AVE",
            "city": "BOALSBURG",
            "state": "PA",
            "postal_code": "168271509",
            "telephone_number": "814-237-8627",
            "fax_number": "814-238-0083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "773 CHERRY TREE CT",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173317902",
            "telephone_number": "717-741-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERRY TREE PHYSICIAN ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-19",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KLEYHAUER",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "717-741-8100"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THREE RIVERS HEALTH PLAN",
            "identifier": "122452",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY",
            "identifier": "1525714",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017303250002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BC",
            "identifier": "2586800",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "263000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS HIGHMARK",
            "identifier": "383789",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HPC",
            "identifier": "993971",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanover, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.