A Douglas Chervenak DO PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

A DOUGLAS CHERVENAK DO PA

Practice address

319 N Carter Road
Smyrna, DE 19977

Phone

(302) 653-1050

Fax

(302) 653-1089

NPI assigned

Jan 9, 2007

Last updated

Apr 19, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Georgia M Vansant

Title

Office Manager

Phone

(302) 653-1050

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DE

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• A Douglas Chervenak, D.O.

  • Family Medicine Physician
  • Smyrna, DE
  • NPI 1356491484
  Medicare reassignment NPD
• Jerome L Abrams, M.D.

  • Family Medicine Physician
  • Dover, DE
  • NPI 1225063829
  Medicare reassignment
• Cedric Terriell Barnes, D.O.

  • Family Medicine Physician
  • Milford, DE
  • NPI 1851338040
  NPD (past)

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271635200000",
    "number": "1376692251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 N CARTER ROAD",
            "city": "SMYRNA",
            "state": "DE",
            "postal_code": "19977",
            "telephone_number": "302-653-1050",
            "fax_number": "302-653-1089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 N CARTER ROAD",
            "city": "SMYRNA",
            "state": "DE",
            "postal_code": "19977",
            "telephone_number": "302-653-1050",
            "fax_number": "302-653-1089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A DOUGLAS CHERVENAK DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2010-04-19",
        "status": "A",
        "authorized_official_last_name": "VANSANT",
        "authorized_official_first_name": "GEORGIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "302-653-1050"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 2JM Medical Group Inc (St Albert Recovery Institute)
• Above & Beyond Home Care LLC
• Acme Markets Inc (Acme Pharmacy #2836)
• Acts From the Heart LLC
• Affordable Health Care of Delaware
• La'Chanda Quinnette Akers, DDS

• Family Medicine Physician in Smyrna, DE
• Providers in Smyrna, DE by specialty
• Family Medicine Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.