Individual provider Active NPI

Emmanuella Cherisme-Theophile, MD

  • Obstetrics & Gynecology Physician
  • Chambersburg, PA
National Provider Identifier
1700819968
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
25MA07596000 Issued in NJ
Practice address
1835 Dawn LN
Chambersburg, PA 17202-9736
Phone
(610) 787-9367
Fax
(717) 297-7677
NPI assigned
Jul 9, 2006
Last updated
Dec 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD417373 PA
Gynecology Physician 207VG0400X 25MA07596000 NJ
Obstetrics Physician 207VX0000X 225117-1 NY
Obstetrics Physician 207VX0000X MD417373 PA
Obstetrics & Gynecology Physician 207V00000X 25MA07596000 NJ Primary

Addresses

Primary practice location

1835 Dawn LN
Chambersburg, PA 17202-9736

Mailing address

1835 Dawn LN
Chambersburg, PA 17202-9736
Phone (610) 787-9367

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA07596000NJMDObstetrics & Gynecology Physician
225117-1NYMDObstetrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1700819968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1835 DAWN LN",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172029736",
            "telephone_number": "610-787-9367",
            "fax_number": "717-297-7677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1835 DAWN LN",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172029736",
            "telephone_number": "610-787-9367",
            "fax_number": "717-297-7677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHERISME-THEOPHILE",
        "first_name": "EMMANUELLA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-09",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD417373",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NJ",
            "license": "25MA07596000",
            "primary": false
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "NY",
            "license": "225117-1",
            "primary": false
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "PA",
            "license": "MD417373",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MA07596000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chambersburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; 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.