Active NPI
Patrick Chernesky, DPM
- Podiatrist
- Port Charlotte, FL
National Provider Identifier
1093829905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- PO-1660
- Practice address
- 2826 Tamiami TRL
Suite 5
Port Charlotte, FL 33952-5167 - Phone
- (941) 629-1153
- Fax
- (941) 629-0104
- NPI assigned
- Aug 18, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | PO-1660 | FL | Primary |
Addresses
Primary practice location
2826 Tamiami TRL
Suite 5
Port Charlotte, FL 33952-5167
Mailing address
2826 Tamiami TRL
Suite 5
Port Charlotte, FL 33952-5167
Phone (941) 629-1153
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0296856-00 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PO-1660 | FL | MD | Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317686400000",
"number": "1093829905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2826 TAMIAMI TRL",
"address_2": "SUITE 5",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "339525167",
"telephone_number": "941-629-1153",
"fax_number": "941-629-0104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2826 TAMIAMI TRL",
"address_2": "SUITE 5",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "339525167",
"telephone_number": "941-629-1153",
"fax_number": "941-629-0104"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHERNESKY",
"first_name": "PATRICK",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-18",
"last_updated": "2011-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "FL",
"license": "PO-1660",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0296856-00",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Port Charlotte, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.