Active NPI 1942278601 Individual Practitioner Male Practitioner

Dr. Daniel A. Cherry , MD

Pathology - Anatomic Pathology & Clinical Pathology • Phoenix, AZ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Daniel Cherry, MD is a certified Pathology - Anatomic Pathology & Clinical Pathology practicing in Phoenix, AZ. With approximately 38 years of clinical experience since completing medical education in 1988, Dr. Cherry delivers high-quality medical care to the local community at 1111 E MCDOWELL RD.

Dr. Cherry is affiliated with Pathology Specialist Of Arizona, Llp and accepts Medicare assignment.

Frequently performed procedures and clinical services include flow cytometry technique for dna or cell analysis, pathology examination of tissue using a microscope, intermediate complexity, microscopic genetic analysis of tissue, computer-assisted technology, initial procedure, each multiplex procedure. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1111 E Mcdowell Rd

Phoenix, AZ 850062612

Telephone 6026855211

Fax 6026855325

Associated Practice Facility / Clinic

🏢 Banner Imaging Associates Plc Facility NPI 1124077755

Medicare Profile & Education

Medical School

Other

Graduation Year

1988

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Pathology - Anatomic Pathology & Clinical Pathology in Phoenix, AZ

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

38 Yrs +13.0 yrs vs City Avg

City Avg: 25.0 Yrs

State Avg: 27.1 Yrs

Regional Practice Density

123 Specialists

Practicing in Phoenix, AZ (335 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

55.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Cherry (38 Years) 38 Yrs

Phoenix Specialty Average (25.0 Years) 25.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
88189 Flow cytometry technique for dna or cell analysis, 16 or more markers	409	351	$174.85	$79.25
88305 Pathology examination of tissue using a microscope, intermediate complexity	328	186	$60.24	$34.99
88374 Microscopic genetic analysis of tissue, computer-assisted technology, initial procedure, each multiplex procedure	260	100	$74.37	$39.58
88313 Special stained specimen slides to examine tissue including interpretation and report	240	74	$19.53	$11.32
88377 Microscopic genetic analysis of tissue, manual, each additional multiplex stain procedure	213	59	$120.00	$60.04
88341 Special stained specimen slides to examine tissue	197	47	$98.87	$26.32
88360 Microscopic genetic analysis of tumor	136	67	$90.07	$38.88
88311 Preparation of tissue for examination by removing any calcium present	86	83	$20.08	$11.32
85097 Bone marrow, smear interpretation	74	70	$140.17	$45.53
88373 Microscopic genetic examination using computer-assisted technology	69	62	$48.00	$23.73
88342 Special stained specimen slides to examine tissue, initial procedure	67	64	$86.46	$32.76
88367 Microscopic genetic analysis of tissue	65	62	$98.34	$31.13
88307 Pathology examination of tissue using a microscope, moderately high complexity	52	40	$134.36	$76.77
85060 Blood smear interpretation by physician with written report	38	36	$39.60	$22.55
88331 Pathology examination of specimen during surgery, first tissue block	26	12	$100.32	$57.93
88112 Cell examination of specimen, selective cellular enhancement technique	25	24	$95.42	$25.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
88189 Flow cytometry technique for dna or cell analysis, 16 or more markers	330	300	$174.85	$80.62
88305 Pathology examination of tissue using a microscope, intermediate complexity	320	198	$60.41	$35.59
88377 Microscopic genetic analysis of tissue, manual, each additional multiplex stain procedure	253	83	$120.00	$61.13
88313 Special stained specimen slides to examine tissue including interpretation and report	180	54	$19.53	$11.51
88341 Special stained specimen slides to examine tissue	145	39	$98.87	$27.00
88374 Microscopic genetic analysis of tissue, computer-assisted technology, initial procedure, each multiplex procedure	142	65	$74.37	$40.95
88361 Microscopic genetic analysis of tumor, using computer-assisted technology	108	45	$93.77	$41.94
88360 Microscopic genetic analysis of tumor	106	53	$90.07	$39.89
88311 Preparation of tissue for examination by removing any calcium present	67	66	$20.08	$11.83
88307 Pathology examination of tissue using a microscope, moderately high complexity	63	46	$134.36	$78.60
88342 Special stained specimen slides to examine tissue, initial procedure	60	54	$86.46	$33.28
85097 Bone marrow, smear interpretation	55	54	$140.17	$46.33
88373 Microscopic genetic examination using computer-assisted technology	38	38	$48.00	$24.17
88367 Microscopic genetic analysis of tissue	38	38	$98.34	$32.03
88331 Pathology examination of specimen during surgery, first tissue block	29	14	$100.32	$59.23
88112 Cell examination of specimen, selective cellular enhancement technique	29	26	$95.42	$26.35
85060 Blood smear interpretation by physician with written report	26	25	$39.60	$23.22
88369 Microscopic genetic analysis of tissue, manual, each additional procedure	20	19	$75.00	$31.67
88368 Microscopic genetic analysis of tissue	20	19	$101.20	$39.92
88304 Pathology examination of tissue using a microscope, moderately low complexity	12	12	$18.51	$10.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
88377 Microscopic genetic analysis of tissue, manual, each additional multiplex stain procedure	314	127	$120.00	$62.43
88189 Flow cytometry technique for dna or cell analysis, 16 or more markers	293	260	$174.85	$82.10
88305 Pathology examination of tissue using a microscope, intermediate complexity	279	161	$60.24	$36.56
88341 Special stained specimen slides to examine tissue	153	39	$98.87	$27.39
88361 Microscopic genetic analysis of tumor, using computer-assisted technology	104	36	$93.77	$42.85
88313 Special stained specimen slides to examine tissue including interpretation and report	97	32	$19.53	$11.82
88360 Microscopic genetic analysis of tumor	71	36	$90.07	$40.69
88307 Pathology examination of tissue using a microscope, moderately high complexity	65	48	$134.36	$80.34
88342 Special stained specimen slides to examine tissue, initial procedure	62	55	$86.46	$33.85
88311 Preparation of tissue for examination by removing any calcium present	51	47	$20.08	$12.15
88369 Microscopic genetic analysis of tissue, manual, each additional procedure	51	48	$75.00	$31.55
88368 Microscopic genetic analysis of tissue	50	48	$101.20	$40.37
85097 Bone marrow, smear interpretation	34	30	$140.17	$47.23
88331 Pathology examination of specimen during surgery, first tissue block	28	15	$100.32	$60.55
88304 Pathology examination of tissue using a microscope, moderately low complexity	22	21	$18.51	$11.12
88112 Cell examination of specimen, selective cellular enhancement technique	22	19	$95.42	$27.09
88173 Evaluation of fine needle aspirate with interpretation and report	20	11	$114.90	$68.96
88309 Pathology examination of tissue using a microscope, high complexity	14	14	$237.52	$141.26
85060 Blood smear interpretation by physician with written report	12	12	$39.60	$23.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
88305 Pathology examination of tissue using a microscope, intermediate complexity	364	208	$60.24	$37.29
88189 Flow cytometry technique for dna or cell analysis, 16 or more markers	318	286	$174.85	$84.60
88377 Microscopic genetic analysis of tissue, manual, each additional multiplex stain procedure	299	110	$120.80	$64.49
88341 Special stained specimen slides to examine tissue	173	36	$98.87	$28.48
88313 Special stained specimen slides to examine tissue including interpretation and report	137	47	$19.53	$12.14
88361 Microscopic genetic analysis of tumor, using computer-assisted technology	108	28	$93.77	$43.93
88360 Microscopic genetic analysis of tumor	105	40	$90.07	$42.08
88307 Pathology examination of tissue using a microscope, moderately high complexity	95	67	$134.36	$82.89
88311 Preparation of tissue for examination by removing any calcium present	74	66	$20.08	$12.47
88304 Pathology examination of tissue using a microscope, moderately low complexity	61	58	$18.51	$11.43
88342 Special stained specimen slides to examine tissue, initial procedure	59	53	$87.93	$35.10
88368 Microscopic genetic analysis of tissue	57	55	$101.20	$41.46
88369 Microscopic genetic analysis of tissue, manual, each additional procedure	57	54	$75.00	$32.41
85060 Blood smear interpretation by physician with written report	48	46	$39.60	$24.49
88112 Cell examination of specimen, selective cellular enhancement technique	47	39	$95.42	$27.80
85097 Bone marrow, smear interpretation	44	43	$140.17	$48.82
88331 Pathology examination of specimen during surgery, first tissue block	41	24	$100.32	$62.12
88361 Microscopic genetic analysis of tumor, using computer-assisted technology	39	12	$254.12	$121.15
88377 Microscopic genetic analysis of tissue, manual, each additional multiplex stain procedure	23	21	$650.00	$411.04
88305 Pathology examination of tissue using a microscope, intermediate complexity	21	17	$132.13	$70.08
88309 Pathology examination of tissue using a microscope, high complexity	17	17	$237.52	$146.08
88374 Microscopic genetic analysis of tissue, computer-assisted technology, initial procedure, each multiplex procedure	12	11	$512.06	$340.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
88185 Flow cytometry technique for dna or cell analysis, each additional marker	695	33	$87.31	$21.52
88305 Pathology examination of tissue using a microscope, intermediate complexity	439	232	$60.24	$39.16
88377 Microscopic genetic analysis of tissue, manual, each additional multiplex stain procedure	379	134	$120.00	$66.33
88189 Flow cytometry technique for dna or cell analysis, 16 or more markers	270	248	$174.85	$88.03
88313 Special stained specimen slides to examine tissue including interpretation and report	179	64	$19.53	$12.52
88307 Pathology examination of tissue using a microscope, moderately high complexity	116	64	$135.52	$86.21
88341 Special stained specimen slides to examine tissue	114	29	$98.87	$29.46
88311 Preparation of tissue for examination by removing any calcium present	108	104	$20.08	$12.89
88313 Special stained specimen slides to examine tissue including interpretation and report	101	28	$90.82	$63.23
88305 Pathology examination of tissue using a microscope, intermediate complexity	100	47	$108.85	$57.41
85097 Bone marrow, smear interpretation	84	82	$140.17	$50.57
88360 Microscopic genetic analysis of tumor	75	31	$90.07	$43.85
88360 Microscopic genetic analysis of tumor	74	22	$212.81	$123.19
88369 Microscopic genetic analysis of tissue, manual, each additional procedure	71	68	$75.00	$33.85
88368 Microscopic genetic analysis of tissue	70	68	$101.20	$43.22
88374 Microscopic genetic analysis of tissue, computer-assisted technology, initial procedure, each multiplex procedure	68	27	$474.42	$312.34
85060 Blood smear interpretation by physician with written report	66	64	$39.60	$24.95
88342 Special stained specimen slides to examine tissue, initial procedure	62	58	$86.46	$36.63
88361 Microscopic genetic analysis of tumor, using computer-assisted technology	59	20	$93.77	$46.59
88304 Pathology examination of tissue using a microscope, moderately low complexity	58	55	$18.51	$11.82
88374 Microscopic genetic analysis of tissue, computer-assisted technology, initial procedure, each multiplex procedure	49	22	$74.37	$45.53
88331 Pathology examination of specimen during surgery, first tissue block	48	26	$100.32	$65.08
88112 Cell examination of specimen, selective cellular enhancement technique	42	33	$95.42	$28.80
88311 Preparation of tissue for examination by removing any calcium present	34	29	$27.94	$18.21
88184 Flow cytometry technique for dna or cell analysis, first marker	33	33	$143.31	$65.50
88189 Flow cytometry technique for dna or cell analysis, 16 or more markers	33	33	$174.85	$87.42
88312 Special stained specimen slides to identify organisms including interpretation and report	23	14	$43.51	$27.74
88309 Pathology examination of tissue using a microscope, high complexity	20	20	$237.52	$151.66
88377 Microscopic genetic analysis of tissue, manual, each additional multiplex stain procedure	14	11	$650.00	$402.55
88342 Special stained specimen slides to examine tissue, initial procedure	13	12	$163.35	$90.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
88185 Flow cytometry technique for dna or cell analysis, each additional marker	2,035	104	$87.31	$23.74
88305 Pathology examination of tissue using a microscope, intermediate complexity	690	344	$60.32	$38.37
88377 Microscopic genetic analysis of tissue, manual, each additional multiplex stain procedure	417	137	$120.00	$65.24
88341 Special stained specimen slides to examine tissue	374	77	$98.87	$29.11
88374 Microscopic genetic analysis of tissue, computer-assisted technology, initial procedure, each multiplex procedure	356	112	$459.01	$286.22
88313 Special stained specimen slides to examine tissue including interpretation and report	355	104	$94.68	$62.97
88305 Pathology examination of tissue using a microscope, intermediate complexity	280	129	$116.25	$59.99
88313 Special stained specimen slides to examine tissue including interpretation and report	272	92	$19.53	$12.25
88189 Flow cytometry technique for dna or cell analysis, 16 or more markers	263	238	$174.85	$85.73
85097 Bone marrow, smear interpretation	170	168	$140.17	$49.62
88360 Microscopic genetic analysis of tumor	149	69	$90.07	$43.13
88360 Microscopic genetic analysis of tumor	141	60	$212.81	$124.69
88342 Special stained specimen slides to examine tissue, initial procedure	134	120	$86.46	$35.61
88311 Preparation of tissue for examination by removing any calcium present	130	128	$20.08	$12.52
88374 Microscopic genetic analysis of tissue, computer-assisted technology, initial procedure, each multiplex procedure	125	60	$77.87	$45.87
88311 Preparation of tissue for examination by removing any calcium present	117	104	$29.36	$18.88
88184 Flow cytometry technique for dna or cell analysis, first marker	103	103	$143.31	$64.64
88189 Flow cytometry technique for dna or cell analysis, 16 or more markers	102	99	$174.85	$85.73
88307 Pathology examination of tissue using a microscope, moderately high complexity	101	76	$134.36	$84.43
88304 Pathology examination of tissue using a microscope, moderately low complexity	70	68	$18.72	$11.40
85060 Blood smear interpretation by physician with written report	59	59	$39.60	$24.47
88367 Microscopic genetic analysis of tissue	54	51	$386.09	$97.70
88373 Microscopic genetic examination using computer-assisted technology	54	51	$139.13	$67.93
88368 Microscopic genetic analysis of tissue	49	44	$101.20	$42.47
88369 Microscopic genetic analysis of tissue, manual, each additional procedure	48	44	$75.00	$33.04
88344 Special stained specimen slides to examine tissue	33	27	$75.00	$39.26
88312 Special stained specimen slides to identify organisms including interpretation and report	28	15	$43.51	$27.02
88373 Microscopic genetic examination using computer-assisted technology	27	19	$48.00	$27.40
85097 Bone marrow, smear interpretation	23	22	$140.17	$73.38
88331 Pathology examination of specimen during surgery, first tissue block	21	12	$100.32	$63.74
88342 Special stained specimen slides to examine tissue, initial procedure	21	20	$177.26	$99.35
88367 Microscopic genetic analysis of tissue	19	19	$98.34	$35.14
88304 Pathology examination of tissue using a microscope, moderately low complexity	15	11	$60.29	$27.79
88112 Cell examination of specimen, selective cellular enhancement technique	14	14	$95.42	$28.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
88185 Flow cytometry technique for dna or cell analysis, each additional marker	652	34	$87.31	$29.19
88185 Flow cytometry technique for dna or cell analysis, each additional marker	540	26	$87.32	$29.23
88305 Pathology examination of tissue using a microscope, intermediate complexity	522	270	$78.62	$45.68
88313 Special stained specimen slides to examine tissue including interpretation and report	457	143	$60.48	$38.45
88374 Microscopic genetic analysis of tissue, computer-assisted technology, initial procedure, each multiplex procedure	314	125	$342.10	$227.15
88377 Microscopic genetic analysis of tissue, manual, each additional multiplex stain procedure	268	117	$120.00	$65.32
88189 Flow cytometry technique for dna or cell analysis, 16 or more markers	263	234	$175.32	$86.32
88341 Special stained specimen slides to examine tissue	195	46	$98.93	$30.22
88311 Preparation of tissue for examination by removing any calcium present	165	156	$24.86	$16.20
85097 Bone marrow, smear interpretation	162	160	$140.17	$49.91
88360 Microscopic genetic analysis of tumor	136	71	$146.03	$83.25
88374 Microscopic genetic analysis of tissue, computer-assisted technology, initial procedure, each multiplex procedure	124	55	$459.99	$303.63
88313 Special stained specimen slides to examine tissue including interpretation and report	110	36	$108.34	$68.61
88305 Pathology examination of tissue using a microscope, intermediate complexity	96	49	$130.86	$66.89
88342 Special stained specimen slides to examine tissue, initial procedure	75	71	$93.95	$42.15
88307 Pathology examination of tissue using a microscope, moderately high complexity	47	35	$134.36	$85.36
88367 Microscopic genetic analysis of tissue	44	41	$297.85	$79.02
88373 Microscopic genetic examination using computer-assisted technology	44	41	$111.16	$58.57
88369 Microscopic genetic analysis of tissue, manual, each additional procedure	40	38	$75.00	$33.00
88368 Microscopic genetic analysis of tissue	39	38	$101.20	$42.43
88304 Pathology examination of tissue using a microscope, moderately low complexity	39	33	$24.40	$14.53
38222 Biopsy and aspiration of bone marrow sample for diagnosis	36	36	$338.32	$78.04
88311 Preparation of tissue for examination by removing any calcium present	34	34	$33.28	$21.82
88360 Microscopic genetic analysis of tumor	34	18	$212.81	$131.09
88184 Flow cytometry technique for dna or cell analysis, first marker	34	34	$143.31	$64.91
85060 Blood smear interpretation by physician with written report	30	28	$39.60	$24.79
88184 Flow cytometry technique for dna or cell analysis, first marker	26	26	$143.32	$64.91
88189 Flow cytometry technique for dna or cell analysis, 16 or more markers	21	21	$174.87	$86.32
88331 Pathology examination of specimen during surgery, first tissue block	21	13	$100.32	$64.71
85097 Bone marrow, smear interpretation	19	19	$140.17	$90.15
88367 Microscopic genetic analysis of tissue	15	15	$400.96	$102.86
88373 Microscopic genetic examination using computer-assisted technology	15	15	$143.76	$75.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
88305 Pathology examination of tissue using a microscope, intermediate complexity	245	159	$188.39	$36.57
85060 Blood smear interpretation by physician with written report	132	123	$80.00	$23.22
88341 Special stained specimen slides to examine tissue	85	20	$67.50	$26.35
88304 Pathology examination of tissue using a microscope, moderately low complexity	45	43	$130.00	$11.06
88342 Special stained specimen slides to examine tissue, initial procedure	33	31	$135.00	$33.63
88305 Pathology examination of tissue using a microscope, intermediate complexity	32	22	$238.47	$50.23
86078 Blood bank physician services for investigation of transfusion reaction with written report	27	22	$91.50	$48.31
88307 Pathology examination of tissue using a microscope, moderately high complexity	23	20	$295.00	$80.48
88311 Preparation of tissue for examination by removing any calcium present	17	17	$49.00	$12.13
88309 Pathology examination of tissue using a microscope, high complexity	16	14	$463.00	$142.22
88189 Flow cytometry technique for dna or cell analysis, 16 or more markers	12	11	$275.00	$81.62

Medical Specialties & State Licenses

CMS Verified: 2020-08-05

Pathology - Anatomic Pathology & Clinical Pathology Primary Specialty

NUCC Taxonomy Code: 207ZP0102X

State License AZ 53617

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

Pathology - Hematology

NUCC Taxonomy Code: 207ZH0000X

State License AZ 53617

A hematopathologist is expert in diseases that affect blood cells, blood clotting mechanisms, bone marrow and lymph nodes. This physician has the knowledge and technical skills essential for the laboratory diagnosis of anemias, leukemias, lymphomas, bleeding disorders and blood clotting disorders.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

333572 (AZ)

Hospital & Practice Group Affiliations

Pathology Specialist Of Arizona, Llp

1900 N Higley Rd, Gilbert, AZ 852341604

Phone: 6026855211

Pathology Specialist Of Arizona, Llp

37000 N Gantzel Rd, San Tan Valley, AZ 851407303

Phone: 6026855211

Pathology Specialist Of Arizona, Llp

807 S Ponderosa St, Payson, AZ 855415542

Phone: 6026855211

Pathology Specialist Of Arizona, Llp

6644 E Baywood Ave, Mesa, AZ 852061747

Phone: 6026855211

Pathology Specialist Of Arizona, Llp

1111 E Mcdowell Rd, Phoenix, AZ 850062612

Phone: 6026855211

Pathology Specialist Of Arizona, Llp

14502 W Meeker Blvd, Sun City West, AZ 853755282

Phone: 6026855211

Pathology Specialist Of Arizona, Llp

1800 E Florence Blvd, Casa Grande, AZ 851225303

Phone: 6026855211

Pathology Specialist Of Arizona, Llp

10401 W Thunderbird Blvd, Sun City, AZ 853513004

Phone: 6026855211

Pathology Specialist Of Arizona, Llp

5555 W Thunderbird Rd, Glendale, AZ 853064622

Phone: 6026855211

Pathology Specialist Of Arizona, Llp

1400 S Dobson Rd, Mesa, AZ 852024707

Phone: 6026855211

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

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Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events

📍

Updated Practice Location August 05, 2020

Registered at 1111 E MCDOWELL RD, PHOENIX, AZ 850062612 (Tel: 6026855211)

📍

Updated Business Mailing Address August 05, 2020

Registered at PO BOX 42210, PHOENIX, AZ 850802210 (Tel: 6232667770)

✅

NPI Profile Active August 31, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location August 31, 2017

Registered at 1255 W WASHINGTON ST, TEMPE, AZ 852811210 (Tel: (602) 685-5211)

📍

Updated Business Mailing Address August 31, 2017

Registered at 1255 W WASHINGTON ST, TEMPE, AZ 852811210 (Tel: (602) 685-5211)

👤

Provider Name / Credentials Updated August 31, 2017

Recorded as DANIEL CHERRY, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 31, 2017

Pathology (License #53617 in AZ)

✅

NPI Profile Active January 17, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location January 17, 2008

Registered at 9330 MEDICAL PLAZA DR, N CHARLESTON, SC 294069104 (Tel: 8437974179)

📍

Updated Business Mailing Address January 17, 2008

Registered at PO BOX 49009, GREENWOOD, SC 296490001 (Tel: 8642233070)

👤

Provider Name / Credentials Updated January 17, 2008

Recorded as DANIEL CHERRY, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 17, 2008

Pathology (License #18401 in SC)

🟢

Initial NPI Registration & Enumeration March 09, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1942278601

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: March 09, 2006

Last Update: August 05, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 42210

Phoenix, AZ 850802210

Phone: 6232667770

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.