Individual provider Active NPI

Andrew R Chernick, M.D.

  • Specialist
  • Zanesville, OH
National Provider Identifier
1386628469
Registry record updated Oct 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
35 066059 Issued in OH
Practice address
999 Garden Rd
Zanesville, OH 43701-1330
Phone
(740) 454-8193
Fax
(740) 454-1470
NPI assigned
Dec 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 35 066059 OH Primary

Addresses

Primary practice location

999 Garden Rd
Zanesville, OH 43701-1330

Mailing address

999 Garden Rd
Zanesville, OH 43701-1330
Phone (740) 454-8193

Other identifiers 2

IdentifierTypeStateIssuer
000000119762OtherOHANTHEM BLUE CROSS BLUE SHIELD
0962356MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080304000872 OH Practitioner - Gastroenterology 6507941358 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
New York Medical College, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesis Medical Group, LLCGroup PAC ID 7719040385, 265 clinicians

Practice addresses (Care Compare)

2951 Maple Ave
Zanesville, OH 43701-1406
Phone (740) 454-4000

945 Bethesda Dr
Zanesville, OH 43701-1880

999 Garden Rd
Zanesville, OH 43701-1330
Phone (740) 454-8193

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy170
Upper gastrointestinal (GI) endoscopy for acid reflux141

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35 066059OHMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Medical Group LLC CurrentSince Dec 1, 2013 Accepting new patients
Genesis Medical Group, LLC CurrentSince Dec 1, 2013 Accepting new patients

Locations

1246 Ashland Ave
Ste 107
Zanesville, OH 43701
Phone (740) 452-7359

999 Garden Rd
Zanesville, OH 43701
Phone (740) 454-8193

1246 Ashland Ave
Ste 105
Zanesville, OH 43701
Phone (614) 454-0804

945 Bethesda Dr
Ste 330
Zanesville, OH 43701
Phone (740) 454-4038

945 Bethesda Dr
Ste 200
Zanesville, OH 43701
Phone (740) 454-4788

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1133481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349827200000",
    "number": "1386628469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 GARDEN RD",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437011330",
            "telephone_number": "740-454-8193",
            "fax_number": "740-454-1470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 GARDEN RD",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437011330",
            "telephone_number": "740-454-8193",
            "fax_number": "740-454-1470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHERNICK",
        "first_name": "ANDREW",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-02",
        "last_updated": "2012-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OH",
            "license": "35 066059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS BLUE SHIELD",
            "identifier": "000000119762",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0962356",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Zanesville, OH

Sources for this page

Verify at the official NPI Registry.