Individual provider Active NPI

Harold A Chertok, DO

  • Family Medicine Physician
  • Cookeville, TN
National Provider Identifier
1891719274
Registry record updated Jun 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO1351 Issued in TN
Practice address
445 N Cedar Ave
Cookeville, TN 38501-2422
Phone
(931) 528-5787
Fax
(931) 528-5796
NPI assigned
Jul 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DO1351 TN Primary

Addresses

Primary practice location

445 N Cedar Ave
Cookeville, TN 38501-2422

Mailing address

445 N Cedar Ave
Cookeville, TN 38501-2422
Phone (931) 528-5787

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110308000493 TN Practitioner - Family Practice 9032391313 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1351TNMDPsychologist
DO1351TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Spero Health of Tennessee, LLC CurrentSince May 12, 2022 Accepting new patients
Volunteer Medical Group, P.C. Past Accepting new patients
Medical Observation Services LLC Past Accepting new patients

Locations

155 Franklin Rd
Ste 430
Brentwood, TN 37027
Phone (615) 265-0359

920 S Willow Ave
Cookeville, TN 38501
Phone (931) 525-6059

1846 S Main St
Ste 103
Crossville, TN 38555
Phone (931) 340-5065

301 Wolverine Trl
Ste 200
Smyrna, TN 37167
Phone (615) 459-5228

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/sperohealth/r4/

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307491200000",
    "number": "1891719274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 N CEDAR AVE",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385012422",
            "telephone_number": "931-528-5787",
            "fax_number": "931-528-5796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 N CEDAR AVE",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385012422",
            "telephone_number": "931-528-5787",
            "fax_number": "931-528-5796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHERTOK",
        "first_name": "HAROLD",
        "middle_name": "A",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2011-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "DO1351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cookeville, TN

Sources for this page

Verify at the official NPI Registry.