Active NPI
Cherry Tree Physician Associates PC
- Radiation Oncology Physician
- Hanover, PA
National Provider Identifier
1770569147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 122452 | Other | PA | THREE RIVERS HEALTH PLAN |
| 1525714 | Other | PA | GATEWAY |
| 0017303250002 | Medicaid | PA | |
| 2586800 | Other | PA | CAPITAL BC |
| 263000 | Other | PA | MAMSI |
| 383789 | Other | PA | BCBS HIGHMARK |
| 993971 | Other | PA | KEYSTONE HPC |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Radiation Oncology Physician
- Carlisle, PA
- NPI 1750378238
-
- Family Medicine Physician
- Gettysburg, PA
- NPI 1467485375
-
- Radiation Oncology Physician
- York, PA
- NPI 1821099912
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.