Provider Demographics
NPI:1659365906
Name:CASHDOLLAR, MICHAEL R (MD)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:R
Last Name:CASHDOLLAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:22 ST PAUL DR STE 3
Mailing Address - Street 2:
Mailing Address - City:CHAMBERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17201-1033
Mailing Address - Country:US
Mailing Address - Phone:717-217-6020
Mailing Address - Fax:717-217-6939
Practice Address - Street 1:22 ST PAUL DR STE 100
Practice Address - Street 2:
Practice Address - City:CHAMBERSBURG
Practice Address - State:PA
Practice Address - Zip Code:17201-1036
Practice Address - Country:US
Practice Address - Phone:717-217-6020
Practice Address - Fax:717-217-6939
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-01
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD015476E207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA25-1515376OtherHEALTHNET/TRICARE
PA000725320 0002 (CH)Medicaid
PA123477OtherUNISON
PA000725320 0004 (WH)Medicaid
PA97875OtherHIGHMARK BLUE SHIELD
PA25-1515376OtherMULTIPLAN/PHCS
PA25-1515376OtherDEVON
PA25-1515376OtherINFORMED
PA365261OtherHEALTH AMERICA
PAP00031246OtherRAILROAD MEDICARE
PA1517630OtherGATEWAY
PA25-1515376OtherSOUTH CENTRAL PREFERRED
PA3360947OtherAETNA (WH)
PA841795OtherAETNA HMO (CH)
PA1335560OtherFIRST HEALTH
PA2124200OtherMAMSI
PA4308863OtherAETNA NON-HMO
PA740109OtherMEDICARE GROUP #
PA000725320 0003 (FS)Medicaid
PA50008551OtherCAPITAL BLUECROSS
PAP00031246OtherRAILROAD MEDICARE
PA25-1515376OtherMULTIPLAN/PHCS