Active NPI
Edward M Chernick, M.D.
- Internal Medicine Physician
- Columbus, OH
National Provider Identifier
1376547182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 35047978
- Practice address
- 7630 Rivers Edge Dr
Columbus, OH 43235-1337 - Phone
- (614) 533-4000
- Fax
- (614) 540-3979
- NPI assigned
- Jun 9, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 35047978 | OH | Primary |
Addresses
Primary practice location
7630 Rivers Edge Dr
Columbus, OH 43235-1337
Mailing address
5450 Frantz Rd Ste 360
Dublin, OH 43016-4141
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0556376 | Medicaid | OH |
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35047978 | OH | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Laurels of West Columbus, LLC | Past | Accepting new patients | |
| The Millhon Clinic, Inc | Internal Medicine | Past | Accepting new patients |
| Circleville Post Acute, LLC | Past | Accepting new patients | |
| Lancaster Post Acute, LLC | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Skilled Nursing Facility
- Circleville, OH
- NPI 1861051757
-
- Skilled Nursing Facility
- Lancaster, OH
- NPI 1104485093
-
- Skilled Nursing Facility
- Columbus, OH
- NPI 1629694229
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560902400000",
"number": "1376547182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5450 FRANTZ RD STE 360",
"city": "DUBLIN",
"state": "OH",
"postal_code": "430164141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7630 RIVERS EDGE DR",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432351337",
"telephone_number": "614-533-4000",
"fax_number": "614-540-3979"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHERNICK",
"first_name": "EDWARD",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-09",
"last_updated": "2019-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "35047978",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0556376",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.