Sergei Chekov MD PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD418486 Issued in PA

Legal business name

SERGEI CHEKOV MD PC

Practice address

9892 Bustleton Ave
Suite 103
Philadelphia, PA 19115-2184

Phone

(215) 897-9090

Fax

(215) 897-9094

NPI assigned

Nov 4, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Sergei Chekov, MDNPI 1265470306

Title

Physician

Phone

(215) 897-9090

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sergei V Chekov, MD

  • Internal Medicine Physician
  • Philadelphia, PA
  • NPI 1265470306
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1383523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399507200000",
    "number": "1871922534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9892 BUSTLETON AVE",
            "address_2": "SUITE 103",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191152184",
            "telephone_number": "215-897-9090",
            "fax_number": "215-897-9094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9892 BUSTLETON AVE",
            "address_2": "SUITE 103",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191152184",
            "telephone_number": "215-897-9090",
            "fax_number": "215-897-9094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERGEI CHEKOV MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-04",
        "last_updated": "2014-05-08",
        "status": "A",
        "authorized_official_last_name": "CHEKOV",
        "authorized_official_first_name": "SERGEI",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "215-897-9090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD418486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Serenity Medical Care LLC
• Serenity Recovery Services
• Serenity Safe Haven Outpatient Clinic
• Francesca Sereno, RD
• Shanna Serfass
• Robert Charles Sergott, MD
• Tatsiana Serhiyenia, MD
• Maeve Allison Serino, MD
• Sunny Serio, FNP-C
• Daniel Serje, MD

• Internal Medicine Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.