Organization Active NPI

Chernesky Patrick

  • Durable Medical Equipment & Medical Supplies
  • Port Charlotte, FL
National Provider Identifier
1811167893
Registry record updated May 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
PO 1660 Issued in FL
Legal business name
CHERNESKY PATRICK
Practice address
2826 Tamiami TRL Ste 5
Port Charlotte, FL 33952-5167
Phone
(941) 629-1153
NPI assigned
Mar 6, 2008
Last updated
May 7, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2008

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

Authorized official

Name
Mary Sullivan
Title
Office Manager
Phone
(941) 629-1153

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X PO 1660 FL Primary

Addresses

Primary practice location

2826 Tamiami TRL Ste 5
Port Charlotte, FL 33952-5167

Mailing address

2826 Tamiami TRL Ste 5
Port Charlotte, FL 33952-5167

Other identifiers 1

IdentifierTypeStateIssuer
029685600MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Chernesky Patrick2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2826 Tamiami Trl
Ste 5
Pt Charlotte, FL 33952
Phone (813) 629-1153

NPI Registry JSON

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

{
    "created_epoch": "1204761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210118400000",
    "number": "1811167893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2826 TAMIAMI TRL STE 5",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339525167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2826 TAMIAMI TRL STE 5",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339525167",
            "telephone_number": "941-629-1153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERNESKY PATRICK",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-06",
        "last_updated": "2008-05-07",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "941-629-1153"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "PO 1660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "029685600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.

Verify at the official NPI Registry.