Individual provider Active NPI

Antoinette M Cheney, D.O.

  • Family Medicine Physician
  • Columbia, MD
National Provider Identifier
1093879108
Registry record updated Sep 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
H0065148 Issued in MD
Practice address
5450 Knoll North Dr
Suite 250
Columbia, MD 21045-2300
Phone
(410) 964-6200
Fax
(410) 964-6293
NPI assigned
Dec 21, 2006
Last updated
Sep 21, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2007

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 H0065148 MD Primary

Addresses

Primary practice location

5450 Knoll North Dr
Suite 250
Columbia, MD 21045-2300

Mailing address

5450 Knoll North Dr
Suite 250
Columbia, MD 21045-2300
Phone (410) 964-6200

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
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
H0065148MDMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190332800000",
    "number": "1093879108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5450 KNOLL NORTH DR",
            "address_2": "SUITE 250",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210452300",
            "telephone_number": "410-964-6200",
            "fax_number": "410-964-6293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5450 KNOLL NORTH DR",
            "address_2": "SUITE 250",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210452300",
            "telephone_number": "410-964-6200",
            "fax_number": "410-964-6293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHENEY",
        "first_name": "ANTOINETTE",
        "middle_name": "M",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-21",
        "last_updated": "2007-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "H0065148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.