Individual provider Active NPI

Richard Paul Chern, M.D.

  • Family Medicine Physician
  • Miramar Beach, FL
National Provider Identifier
1063459188
Registry record updated Feb 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME95148 Issued in FL
Practice address
12889 US Highway 98 W Ste 107B
Miramar Beach, FL 32550-3244
Phone
(850) 837-1271
NPI assigned
May 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME95148 FL Primary

Addresses

Primary practice location

12889 US Highway 98 W Ste 107B
Miramar Beach, FL 32550-3244

Mailing address

12889 US Highway 98 W Ste 107B
Miramar Beach, FL 32550-3244
Phone (850) 837-1271

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, AL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130701000670 FL Practitioner - Family Practice 0446490197 Reassigns benefits to 3 organizations
I20150123000582 AL Practitioner - Family PracticePractitioner - Emergency Medicine 0446490197 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Paragon Contracting Services LLC CurrentSince Feb 1, 2015 Accepting new patients
Southland Hospitalist at Weems PL CurrentSince Sep 1, 2014 Accepting new patients
Southland EMS at Weems PL CurrentSince Sep 1, 2014 Accepting new patients
Panhandle Emergency Physicians a Div of Sacred Heart Hosp Pensacola CurrentSince Dec 1, 2014 Accepting new patients
University Health Physicians Family Medicine Past Accepting new patients

Locations

810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456

135 Avenue G
Apalachicola, FL 32320
Phone (850) 653-8853

1360 Brickyard Rd
Chipley, FL 32428
Phone (850) 415-8300

5151 N 9th Ave
Pensacola, FL 32504
Phone (850) 202-4700

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551139200000",
    "number": "1063459188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12889 US HIGHWAY 98 W STE 107B",
            "city": "MIRAMAR BEACH",
            "state": "FL",
            "postal_code": "325503244",
            "telephone_number": "850-837-1271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12889 US HIGHWAY 98 W STE 107B",
            "city": "MIRAMAR BEACH",
            "state": "FL",
            "postal_code": "325503244",
            "telephone_number": "850-837-1271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHERN",
        "first_name": "RICHARD",
        "middle_name": "PAUL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2019-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME95148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar Beach, FL

Sources for this page

Verify at the official NPI Registry.