Cheesman Healthcare, P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

01054637A Issued in IN

Legal business name

CHEESMAN HEALTHCARE, P.C.

Doing business as

VidaMD Health and Wellness

Practice address

97 Dover St
Suite 600
Avon, IN 46123-7380

Phone

(317) 272-7950

NPI assigned

Sep 26, 2006

Organization subpart

No

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

Authorized official

Name

Dr. David Alan Cheesman, M.D.

Title

President

Phone

(317) 272-7950

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• VidaMD Health and Wellness Doing business as

Locations

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770684052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 W COUNTY ROAD 100 S",
            "city": "DANVILLE",
            "state": "IN",
            "postal_code": "461228205",
            "telephone_number": "317-272-7950",
            "fax_number": "317-272-7963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 DOVER ST",
            "address_2": "SUITE 600",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461237380",
            "telephone_number": "317-272-7950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHEESMAN HEALTHCARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHEESMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-272-7950",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01054637A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER",
            "identifier": "1093766826",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VidaMD Health and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Family Medicine Physician in Avon, IN
• Providers in Avon, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.