Basic Information
| Provider Information | |||||||||
| NPI: | 1659365906 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | CASHDOLLAR | ||||||||
| FirstName: | MICHAEL | ||||||||
| MiddleName: | R | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 22 ST PAUL DR STE 3 | ||||||||
| Address2: | |||||||||
| City: | CHAMBERSBURG | ||||||||
| State: | PA | ||||||||
| PostalCode: | 172011033 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7172176020 | ||||||||
| FaxNumber: | 7172176939 | ||||||||
| Practice Location | |||||||||
| Address1: | 22 ST PAUL DR STE 100 | ||||||||
| Address2: | |||||||||
| City: | CHAMBERSBURG | ||||||||
| State: | PA | ||||||||
| PostalCode: | 172011036 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7172176020 | ||||||||
| FaxNumber: | 7172176939 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/01/2005 | ||||||||
| LastUpdateDate: | 07/21/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 01/15/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RH0003X | MD015476E | PA | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Hematology & Oncology |
ID Information
| ID | Type | State | Issuer | Description | 25-1515376 | 01 | PA | HEALTHNET/TRICARE | OTHER | 000725320 0002 (CH) | 05 | PA | MEDICAID | 123477 | 01 | PA | UNISON | OTHER | 000725320 0004 (WH) | 05 | PA | MEDICAID | 97875 | 01 | PA | HIGHMARK BLUE SHIELD | OTHER | 25-1515376 | 01 | PA | MULTIPLAN/PHCS | OTHER | 25-1515376 | 01 | PA | DEVON | OTHER | 25-1515376 | 01 | PA | INFORMED | OTHER | 365261 | 01 | PA | HEALTH AMERICA | OTHER | P00031246 | 01 | PA | RAILROAD MEDICARE | OTHER | 1517630 | 01 | PA | GATEWAY | OTHER | 25-1515376 | 01 | PA | SOUTH CENTRAL PREFERRED | OTHER | 3360947 | 01 | PA | AETNA (WH) | OTHER | 841795 | 01 | PA | AETNA HMO (CH) | OTHER | 1335560 | 01 | PA | FIRST HEALTH | OTHER | 2124200 | 01 | PA | MAMSI | OTHER | 4308863 | 01 | PA | AETNA NON-HMO | OTHER | 740109 | 01 | PA | MEDICARE GROUP # | OTHER | 000725320 0003 (FS) | 05 | PA | MEDICAID | 50008551 | 01 | PA | CAPITAL BLUECROSS | OTHER |