Organization Active NPI

Cherry Tree Foot and Ankle Specialists, PC

  • Podiatric Clinic/Center
  • Hanover, PA
National Provider Identifier
1821095480
Registry record updated Dec 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
Legal business name
CHERRY TREE FOOT AND ANKLE SPECIALISTS, PC
Practice address
798 Cherry Tree CT
Hanover, PA 17331-7901
Phone
(717) 630-8100
Fax
(717) 630-2800
NPI assigned
Jun 28, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2007

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

Authorized official

Name
Dr. Glenn M Hartman, DPMNPI 1457358988
Title
President
Phone
(717) 630-8100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric Clinic/Center 261QP1100X Primary

Addresses

Primary practice location

798 Cherry Tree CT
Hanover, PA 17331-7901

Mailing address

798 Cherry Tree CT
Hanover, PA 17331-7901
Phone (717) 630-8100

Other identifiers 2

IdentifierTypeStateIssuer
1446958OtherPAHIGHMARK BLUE SHIELD
50008502OtherPACAPITAL BLUECROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040331001069 PA Part B Supplier - Clinic/Group Practice 2961494810 Receives reassigned benefits from 2 practitioners
Practice locations: Hanover, PA
O20100930029066 PA DME Supplier - Physician - Podiatry 2961494810 Practice locations: Hanover, PA

National Provider Directory

National Provider Directory

Locations

798 Cherry Tree Ct
Hanover, PA 17331
Phone (717) 630-8100

Practitioners & affiliated clinicians

Practitioners 2

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": "1119916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198022400000",
    "number": "1821095480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "798 CHERRY TREE CT",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173317901",
            "telephone_number": "717-630-8100",
            "fax_number": "717-630-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "798 CHERRY TREE CT",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173317901",
            "telephone_number": "717-630-8100",
            "fax_number": "717-630-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERRY TREE FOOT AND ANKLE SPECIALISTS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-28",
        "last_updated": "2007-12-19",
        "status": "A",
        "authorized_official_last_name": "HARTMAN",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "717-630-8100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "1446958",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUECROSS",
            "identifier": "50008502",
            "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 Dec 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.