Active NPI
Cheryl Ann Vernon, M.D.
- Family Medicine Physician
- Iowa City, IA
National Provider Identifier
1962547919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 39725
- Practice address
- 1130 S Scott Blvd
Iowa City, IA 52240-2907 - Phone
- (319) 339-7472
- NPI assigned
- Feb 20, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 33164 | NC | |
| Family Medicine Physician | 207Q00000X | 39725 | IA | Primary |
Addresses
Primary practice location
1130 S Scott Blvd
Iowa City, IA 52240-2907
Mailing address
200 Hawkins Dr
Iowa City, IA 52242-1009
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7985017 | Medicaid | NC |
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 |
|---|---|---|---|
| 39725 | IA | MD | Family Medicine Physician |
| 33164 | NC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novant Medical Group, Inc. | Past | Accepting new patients | |
| Bethany Medical Center | Past | Accepting new patients | |
| Interventional Pain & Spine Specialists, PLLC | Past | Accepting new patients | |
| Bethany Medical Center | Family Medicine | Past | Accepting new patients |
| David Wichnoski, O.D. , P.a. | Past | Accepting new patients | |
| Novant Medical Group, Inc. | Family Medicine | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/6303/brand/1/csg/1/fhir/r4
Organizations & group practices 6
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Kernersville, NC
- NPI 1619398997
-
- Optometrist
- Charlotte, NC
- NPI 1114045085
-
- Pain Medicine Physician
- Chester, VA
- NPI 1275834814
-
- Interventional Cardiology Physician
- Charlotte, NC
- NPI 1205836434
-
- Family Medicine Physician
- Faith, NC
- NPI 1447429725
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317686400000",
"number": "1962547919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 HAWKINS DR",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522421009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1130 S SCOTT BLVD",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522402907",
"telephone_number": "319-339-7472"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERNON",
"first_name": "CHERYL",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-20",
"last_updated": "2011-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "33164",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IA",
"license": "39725",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7985017",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Iowa City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.