Active NPI
Jon J Cherney, M.D.
- Orthopaedic Surgery Physician
- Appleton, WI
National Provider Identifier
1720046790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 31287-20
- Practice address
- 2323 N Casaloma Dr
Appleton, WI 54913-8284 - Phone
- (920) 730-8833
- NPI assigned
- May 1, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 31287 | WI | |
| Orthopaedic Surgery Physician | 207X00000X | 31287-20 | WI | Primary |
Addresses
Primary practice location
2323 N Casaloma Dr
Appleton, WI 54913-8284
Mailing address
4350 Sugarberry LN
Appleton, WI 54913
Phone (920) 213-0739
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0555860001 | Other | WI | NATIONAL GOVERNMENT SERVI |
| 32145300 | Medicaid | WI |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 31287-20 | WI | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Woodland Surgery Center LLC | Orthopaedic Surgery | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Ambulatory Surgical Clinic/Center
- Appleton, WI
- NPI 1245297662
Orthopaedic Surgery
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700092800000",
"number": "1720046790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4350 SUGARBERRY LN",
"city": "APPLETON",
"state": "WI",
"postal_code": "54913",
"telephone_number": "920-213-0739"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2323 N CASALOMA DR",
"city": "APPLETON",
"state": "WI",
"postal_code": "549138284",
"telephone_number": "920-730-8833"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHERNEY",
"first_name": "JON",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-01",
"last_updated": "2023-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "WI",
"license": "31287",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "WI",
"license": "31287-20",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONAL GOVERNMENT SERVI",
"identifier": "0555860001",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "32145300",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Appleton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.