Organization Active NPI

James S Cerneka DO PLLC

  • General Practice Physician
  • Mesa, AZ
National Provider Identifier
1396934402
Registry record updated Oct 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
JAMES S CERNEKA DO PLLC
Practice address
500 W 10TH PL Ste 120
Mesa, AZ 85201-3218
Phone
(480) 545-2610
Fax
(480) 545-2673
NPI assigned
Oct 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2007

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

Authorized official

Name
James S Cerneka, DO
Title
Owner
Phone
(480) 545-2610

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

500 W 10TH PL Ste 120
Mesa, AZ 85201-3218

Mailing address

500 W 10TH PL Ste 120
Mesa, AZ 85201-3218
Phone (480) 545-2610

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1192406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192406400000",
    "number": "1396934402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W 10TH PL STE 120",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852013218",
            "telephone_number": "480-545-2610",
            "fax_number": "480-545-2673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W 10TH PL STE 120",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852013218",
            "telephone_number": "480-545-2610",
            "fax_number": "480-545-2673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES S CERNEKA DO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-15",
        "last_updated": "2007-10-15",
        "status": "A",
        "authorized_official_last_name": "CERNEKA",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-545-2610",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.