NPIMap

Organization Active NPI

Richard Chern MD, LLC

  • Primary Care Clinic/Center
  • Miramar Beach, FL
National Provider Identifier
1972983872
Registry record updated Jun 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
ME95148 Issued in FL
Legal business name
RICHARD CHERN MD, LLC
Practice address
12889 Emerald Coast Pkwy W
Suite 107B
Miramar Beach, FL 32550-3243
Phone
(850) 837-1271
NPI assigned
Jun 5, 2015
Last updated
Jun 5, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2015

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

Authorized official

Name
Dr. Richard Chern, MDNPI 1063459188
Title
Owner
Phone
(850) 830-3012

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X ME95148 FL Primary

Addresses

Primary practice location

12889 Emerald Coast Pkwy W
Suite 107B
Miramar Beach, FL 32550-3243

Mailing address

12889 Emerald Coast Pkwy W
Suite 107B
Miramar Beach, FL 32550-3243
Phone (850) 837-1271

National Provider Directory

National Provider Directory
Tax ID family
Richard Chern MD LLC2 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

12889 US Highway 98 W
Ste 107B
Miramar Beach, FL 32550
Phone (850) 830-3012

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1433462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433462400000",
    "number": "1972983872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12889 EMERALD COAST PKWY W",
            "address_2": "SUITE 107B",
            "city": "MIRAMAR BEACH",
            "state": "FL",
            "postal_code": "325503243",
            "telephone_number": "850-837-1271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12889 EMERALD COAST PKWY W",
            "address_2": "SUITE 107B",
            "city": "MIRAMAR BEACH",
            "state": "FL",
            "postal_code": "325503243",
            "telephone_number": "850-837-1271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD CHERN MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-05",
        "last_updated": "2015-06-05",
        "status": "A",
        "authorized_official_last_name": "CHERN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-830-3012",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME95148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2015; 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.