Jason Paul Cervenka

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

D75423 Issued in MD

Practice address

10807 Falls Rd
Suite 200
Lutherville, MD 21093-4591

Phone

(410) 321-9393

NPI assigned

Mar 31, 2010

Last updated

Feb 19, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1269993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455840000000",
    "number": "1477878585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10807 FALLS RD",
            "address_2": "SUITE 200",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210934591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10807 FALLS RD",
            "address_2": "SUITE 200",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210934591",
            "telephone_number": "410-321-9393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERVENKA",
        "first_name": "JASON",
        "middle_name": "PAUL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-31",
        "last_updated": "2016-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D75423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Center for Vein Restoration MD LLC
• Centers for Advanced Orthopaedics, LLC
• Centers for Advanced Orthopaedics, LLC
• Rory D. Cernik, AU.D.
• Erica P. Cerquetti
• Katherine Anne Chalmers, OTRL
• Sam Leung-Sang Chan, LCSW-C
• Ellenor Chance, CRNP
• Candace Irene Chandler, M.D.
• David A Chang, M.D.

• Pediatrics Physician in Lutherville, MD
• Providers in Lutherville, MD by specialty
• Pediatrics Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.