Active NPI
Lori L Cherup MD LLC
- Surgery Physician
- Bridgeville, PA
National Provider Identifier
1508872961
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD14649
- Legal business name
- LORI L CHERUP MD LLC
- Practice address
- 701 Boyce Road
Bridgeville, PA 15017 - Phone
- (412) 220-8181
- Fax
- (412) 220-1150
- NPI assigned
- Jul 31, 2006
- Last updated
- Aug 4, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Maureen Stankevich
- Title
- Business Office Manager
- Phone
- (412) 220-8181
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD14649 | PA | Primary |
Addresses
Primary practice location
701 Boyce Road
Bridgeville, PA 15017
Mailing address
701 Boyce Road
Bridgeville, PA 15017
Phone (412) 220-8181
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2266 | Other | PA | HEALTH AMERICA |
| 555329 | Other | PA | BLUE SHIELD |
| 1002296 | Medicaid | PA |
Other names 1
- LLC
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Plastic Surgery Physician
- McMurray, PA
- NPI 1083601157
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1217808000000",
"number": "1508872961",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 BOYCE ROAD",
"city": "BRIDGEVILLE",
"state": "PA",
"postal_code": "15017",
"telephone_number": "412-220-8181",
"fax_number": "412-220-1150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 BOYCE ROAD",
"city": "BRIDGEVILLE",
"state": "PA",
"postal_code": "15017",
"telephone_number": "412-220-8181",
"fax_number": "412-220-1150"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LORI L CHERUP MD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-31",
"last_updated": "2008-08-04",
"status": "A",
"authorized_official_last_name": "STANKEVICH",
"authorized_official_first_name": "MAUREEN",
"authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
"authorized_official_telephone_number": "412-220-8181"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "PA",
"license": "MD14649",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH AMERICA",
"identifier": "2266",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "555329",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1002296",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "LLC",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Bridgeville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.