Christine Marie Cercek, INDPENDENT PROVIDER

Primary specialty

Home Health AideTaxonomy code 374U00000X

Practice address

2787 Sylvia Ave
Jefferson, OH 44047-9774

Phone

(440) 275-3434

Fax

(440) 275-3434

NPI assigned

Feb 13, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003958562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2787 SYLVIA AVE",
            "city": "JEFFERSON",
            "state": "OH",
            "postal_code": "440479774",
            "telephone_number": "440-275-3434",
            "fax_number": "440-275-3434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2787 SYLVIA AVE",
            "city": "JEFFERSON",
            "state": "OH",
            "postal_code": "440479774",
            "telephone_number": "440-275-3434",
            "fax_number": "440-275-3434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERCEK",
        "first_name": "CHRISTINE",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "INDPENDENT PROVIDER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald M Burkholder, DDS
• Stephanie Candela, LPN
• Stacy Lynn Carothers, LPTA
• James Carrigan
• Sharon K Cattell, LPN
• Tiffany Marie Chambers, LPN
• Jordan Ann Chittle, DPT
• Wenonah Chonich, RN
• Kelly Sue Cicon, P.T.
• Laxman Reddy Cingireddi, M.D.,

• All providers in Jefferson, OH
• Home Health Aide in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.