Individual provider Active NPI

Marianne Elizabeth Chernesky, MD

  • Family Medicine Physician
  • Lebanon, OH
National Provider Identifier
1659398170
Registry record updated Nov 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35.088289 Issued in OH
Practice address
1231 Columbus Ave Unit A1
Lebanon, OH 45036-8196
Phone
(513) 695-4495
Fax
(513) 228-1236
NPI assigned
Jul 17, 2006
Last updated
Nov 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35.088289 OH Primary

Addresses

Primary practice location

1231 Columbus Ave Unit A1
Lebanon, OH 45036-8196

Mailing address

424 Wards Corner Rd Ste 200
Loveland, OH 45140-6966
Phone (513) 576-7700

Other identifiers 1

IdentifierTypeStateIssuer
2676948MedicaidOH

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
I20061220000581 OH Practitioner - Family Practice 8820097892 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Southwestern Medical School at Dallas, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthsource of Ohio IncGroup PAC ID 2264328749, 56 clinicians

Practice addresses (Care Compare)

1231 Columbus Ave
Suite 1
Lebanon, OH 45036-8195
Phone (513) 696-4495

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.088289OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthsource of Ohio Inc Current Accepting new patients
Healthsource of Ohio, Inc. Family Medicine Current Accepting new patients
Butler County Community Health Consortium Inc Family Medicine Current Accepting new patients
Healthsource of Ohio Inc Current Accepting new patients
Healthsource of Ohio, Inc. Current Accepting new patients
Healthsource of Ohio, Inc. Current Accepting new patients
Butler County Community Health Consortium, Inc. CurrentSince Aug 7, 2017 Accepting new patients
Healthsource of Ohio, Inc. Current Accepting new patients
Healthsource of Ohio, Inc. Current Accepting new patients
Healthsource of Ohio, Inc. Current Accepting new patients
Healthsource of Ohio Inc Current Accepting new patients
Healthsource of Ohio, Inc. Current Accepting new patients
Healthsource of Ohio, Inc. Current Accepting new patients
Butler County Community Health Consortium, Inc. CurrentSince Aug 7, 2017 Accepting new patients
Healthsource of Ohio, Inc. CurrentSince Jul 25, 2022 Accepting new patients
Healthsource of Ohio, Inc. CurrentSince Jul 25, 2022 Accepting new patients
Healthsource of Ohio, Inc. Current Accepting new patients
Healthsource of Ohio, Inc. Past Accepting new patients
Healthsource of Ohio, Inc. Past Accepting new patients
Healthsource of Ohio, Inc. Past Accepting new patients

Locations

300 High St
Fl 4
Hamilton, OH 45011
Phone (513) 454-1460

903 NW Washington Blvd
Ste A
Hamilton, OH 45013
Phone (513) 737-6900

210 S 2nd St
Hamilton, OH 45011
Phone (513) 454-1460

1231 Columbus Ave
Unit A1
Lebanon, OH 45036
Phone (513) 695-4495

1231 Columbus Ave
#1
Lebanon, OH 45036
Phone (513) 696-4495

424 Wards Corner Rd
Ste 200
Loveland, OH 45140
Phone (513) 707-4041

10 N Locust St
Ste A
Oxford, OH 45056
Phone 5134541111 ext. 41111

140 W Main St
Wilmington, OH 45177
Phone (937) 481-2930

Interoperability endpoints

  • Direct secure messaging: marianne.chernesky.p1@direct.hsohio.nextgenshare.com

Organizations & group practices 20

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.

View all 20

Hospital & facility affiliations 1

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669593600000",
    "number": "1659398170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 WARDS CORNER RD STE 200",
            "city": "LOVELAND",
            "state": "OH",
            "postal_code": "451406966",
            "telephone_number": "513-576-7700",
            "fax_number": "513-576-1020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1231 COLUMBUS AVE UNIT A1",
            "city": "LEBANON",
            "state": "OH",
            "postal_code": "450368196",
            "telephone_number": "513-695-4495",
            "fax_number": "513-228-1236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHERNESKY",
        "first_name": "MARIANNE",
        "middle_name": "ELIZABETH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.088289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2676948",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, OH

Sources for this page

Verify at the official NPI Registry.