NPIMap

Organization Active NPI

Patrick William Chernesky

  • Podiatrist
  • Port Charlotte, FL
National Provider Identifier
1164887055
Registry record updated Dec 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO1660 Issued in FL
Legal business name
PATRICK WILLIAM CHERNESKY
Practice address
4055 Tamiami TRL
Ste 9
Port Charlotte, FL 33952-9212
Phone
(941) 629-1153
Fax
(941) 629-0104
NPI assigned
Dec 21, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2015

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

Authorized official

Name
Patrick W Chernesky, DPM
Title
Owner
Phone
(941) 629-1153

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X PO1660 FL Primary

Addresses

Primary practice location

4055 Tamiami TRL
Ste 9
Port Charlotte, FL 33952-9212

Mailing address

PO Box 510885
Punta Gorda, FL 33951-0885

National Provider Directory

National Provider Directory
Tax ID family
Chernesky Patrick2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4055 Tamiami Trl
Ste 9
Port Charlotte, FL 33952
Phone (941) 629-1153

NPI Registry JSON

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

{
    "created_epoch": "1450656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450656000000",
    "number": "1164887055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 510885",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339510885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4055 TAMIAMI TRL",
            "address_2": "STE 9",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339529212",
            "telephone_number": "941-629-1153",
            "fax_number": "941-629-0104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK WILLIAM CHERNESKY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-21",
        "last_updated": "2015-12-21",
        "status": "A",
        "authorized_official_last_name": "CHERNESKY",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-629-1153",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO1660",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 21, 2015; 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.