Organization Active NPI

George R. Cherian, M.D., P.C.

  • Specialist
  • Punxsutawney, PA
National Provider Identifier
1497939235
Registry record updated Jun 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD07172L Issued in PA
Legal business name
GEORGE R. CHERIAN, M.D., P.C.
Practice address
803 W Mahoning St
Punxsutawney, PA 15767-1309
Phone
(814) 938-0123
Fax
(814) 938-2344
NPI assigned
Dec 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2014

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

Authorized official

Name
George R Cherian, M.D. , P.C.
Title
Owner
Phone
(814) 938-0123

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X MD07172L PA Primary

Addresses

Primary practice location

803 W Mahoning St
Punxsutawney, PA 15767-1309

Mailing address

803 W Mahoning St
Punxsutawney, PA 15767-1309
Phone (814) 938-0123

Other identifiers 2

IdentifierTypeStateIssuer
1327036OtherPAPENNSYLVANIA BLUE SHIELD
0006183300001MedicaidPA

National Provider Directory

National Provider Directory

Locations

803 W Mahoning St
Punxsutawney, PA 15767
Phone (814) 938-0123

NPI Registry JSON

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

{
    "created_epoch": "1198713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402012800000",
    "number": "1497939235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 W MAHONING ST",
            "city": "PUNXSUTAWNEY",
            "state": "PA",
            "postal_code": "157671309",
            "telephone_number": "814-938-0123",
            "fax_number": "814-938-2344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 W MAHONING ST",
            "city": "PUNXSUTAWNEY",
            "state": "PA",
            "postal_code": "157671309",
            "telephone_number": "814-938-0123",
            "fax_number": "814-938-2344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE R. CHERIAN, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-27",
        "last_updated": "2014-06-06",
        "status": "A",
        "authorized_official_last_name": "CHERIAN",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-938-0123",
        "authorized_official_credential": "M.D. , P.C."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD07172L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PENNSYLVANIA BLUE SHIELD",
            "identifier": "1327036",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006183300001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Punxsutawney, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2014; 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.