NPIMap

Organization Active NPI

Cherry Tree Medical Associates Inc

  • Clinical Medical Laboratory
  • Uniontown, PA
National Provider Identifier
1982872180
Registry record updated Mar 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
1804062 Issued in PA
Legal business name
CHERRY TREE MEDICAL ASSOCIATES INC
Practice address
25 Highland Park Dr
Uniontown, PA 15401-8402
Phone
(724) 438-3040
Fax
(734) 438-3030
NPI assigned
Feb 11, 2008
Last updated
Mar 26, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
CHERRY TREE MEDICAL ASSOCIATESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 26, 2013

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

Authorized official

Name
Marti L Beazell
Title
Billing Manager
Phone
(724) 439-4531

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 1804062 PA Primary

Addresses

Primary practice location

25 Highland Park Dr
Uniontown, PA 15401-8402

Mailing address

25 Highland Park Dr
Uniontown, PA 15401-8402
Phone (724) 438-3040

Other identifiers 3

IdentifierTypeStateIssuer
000000161774OtherPAUNISON
096209OtherPAMEDICARE IL
1804062OtherPAHIGHMARK

Other names 1

  • CHERRY TREE MEDICAL ASSOC INDEPENDENT LAB Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051201000549 PA Part B Supplier - Independent Clinical Laboratory 3779488655 Practice locations: Uniontown, PA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Mountainview Medical As6 organizations share this tax ID, including this one
Part of
Mountainview Medical As

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1202688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364256000000",
    "number": "1982872180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 HIGHLAND PARK DR",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154018402",
            "telephone_number": "724-438-3040",
            "fax_number": "734-438-7127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 HIGHLAND PARK DR",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154018402",
            "telephone_number": "724-438-3040",
            "fax_number": "734-438-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERRY TREE MEDICAL ASSOCIATES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHERRY TREE MEDICAL ASSOCIATES",
        "enumeration_date": "2008-02-11",
        "last_updated": "2013-03-26",
        "status": "A",
        "authorized_official_last_name": "BEAZELL",
        "authorized_official_first_name": "MARTI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "724-439-4531"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PA",
            "license": "1804062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON",
            "identifier": "000000161774",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE IL",
            "identifier": "096209",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "1804062",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHERRY TREE MEDICAL ASSOC INDEPENDENT LAB",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Uniontown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2013; 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.