MICHAEL LAWRENCE CHERNEKOFF (NPI# 1356429716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356429716 |
| Entity Type | Individual |
| Full Name | MICHAEL LAWRENCE CHERNEKOFF |
| Credential | PA-C |
| Practice Address |
1225 Campbell Way Suite 201 Bremerton WA 98310-3351 |
| Mailing Address |
2520 Cherry Ave Bremerton WA 98310-4229 |
| Practice Telephone | 3603771355 |
| Practice Fax Number | 3603771558 |
| Mailing Telephone | 3603773911 |
| Mailing Fax Number | 3603771558 |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2016-01-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA10003909 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| INTERNAL ID-MOTOR VEHICLE ID | 253470 | 01 | |
| WA | 8320624 | 05 |
| Street Address |
1225 CAMPBELL WAY SUITE 201 |
| City | BREMERTON |
| State | WA |
| Zip Code | 98310-3351 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831190040 | George A Berni | Surgery | 1225 Campbell Way, Ste 101, Bremerton, WA 98310-3351 | 2005-08-10 |
| 1336386473 | Franciscan Medical Group | Surgery | 1225 Campbell Way, Suite 101, Bremerton, WA 98310-3351 | 2009-01-12 |
| 1063557981 | Roger K Eagan | Specialist | 1225 Campbell Way, Suite 201, Bremerton, WA 98310-3351 | 2007-02-20 |
| 1033210372 | Alexandra Engstrom | Physician Assistant | 1225 Campbell Way, Suite 101, Bremerton, WA 98310-0000 | 2006-09-26 |
| 1891806865 | Margaret Mary Krieg | Internal Medicine | 1225 Campbell Way, Suite 201, Bremerton, WA 98310-3351 | 2006-08-31 |
| 1629016522 | Thoracic & Vascular Center of Kitsap County Inc Ps | Surgery | 1225 Campbell Way, Suite 101, Bremerton, WA 98310-3351 | 2006-06-03 |
| 1821044918 | Jocelyn C Dela Rosa | Nurse Practitioner | 1225 Campbell Way, Suite 201, Bremerton, WA 98310 | 2006-05-26 |
| 1134175946 | William Scott Klipper | Internal Medicine | 1225 Campbell Way, Suite 201, Bremerton, WA 98310-3351 | 2006-05-25 |
| 1609836824 | Griffith Blackmon | Anesthesiology | 1225 Campbell Way, Suite 201, Bremerton, WA 98310-3349 | 2006-03-23 |
| 1780644096 | David Corley | Internal Medicine | 1225 Campbell Way, Suite 201, Bremerton, WA 98310-3349 | 2006-03-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891333613 | Miss Mary Community Development | Voluntary or Charitable | 1630 Trenton Avenue Apt 10, Bremerton, WA 98310 | 2019-12-11 |
| 1629636055 | Puget Sound Work Injury Clinic, LLC | Clinic/Center | 812 Cherry Ct, Bremerton, WA 98310 | 2019-05-31 |
| 1538672530 | Rachel E Mittelstaedt Parsons | Dietitian, Registered | 3059 Viewcrest Dr Ne, Bremerton, WA 98310 | 2017-11-13 |
| 1356888937 | Sarah Hike | Community Health Worker | 900 Sheridan, Bremerton, WA 98310 | 2017-01-20 |
| 1073941142 | Hana Singer | Physical Therapy Assistant | 3600 Forest Dr Ne, Bremerton, WA 98310 | 2013-10-28 |
| 1447508122 | Kevin Lee Hathaway | Mechanotherapist | 3308 Veska Avenue, Bremerton, WA 98310 | 2012-08-28 |
| 1003163007 | James Hyun Soo Lee | Surgery | Cvn 76 Uss Ronald Reagan, Bremerton, WA 98310 | 2012-08-08 |
| 1487936241 | Karen S Casseday | Nurse Practitioner | 1740 Ne Riddell Rd Ste 110, Bremerton, WA 98310 | 2011-09-16 |
| 1740560572 | Lauren P Foresman | Physician Assistant | 2709 Hemlock Street, Bremerton, WA 98310 | 2011-08-24 |
| 1538390059 | Patricia L Rushon | Speech-Language Pathologist | 560 Lebo Blvd., Bremerton, WA 98310 | 2009-07-31 |
| Find all providers in zip 98310 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902379563 | Paul Hastings | Physician Assistant | Peninsula Community Health Services, 400 Warren Ave, Suite 200, Bremerton, WA 98337 | 2019-01-07 |
| 1699142885 | Justin Thomas Eckert | Physician Assistant | 400 Warren Ave Ste 200, Bremerton, WA 98337-1467 | 2015-08-24 |
| 1770912941 | Patrick Jones | Physician Assistant | 4124 Ridgeway Pl, Unit A, Bremerton, WA 98312-1604 | 2013-11-07 |
| 1740560572 | Lauren P Foresman | Physician Assistant | 2709 Hemlock Street, Bremerton, WA 98310 | 2011-08-24 |
| 1124090899 | Thomas Andrew Olson | Physician Assistant | 616 Sixth St, Peninsula Community Health Services, Bremerton, WA 98337 | 2006-02-06 |
| 1386125565 | Adam David Boyd | Physician Assistant | 400 Warren Ave Ste 200, Bremerton, WA 98337-1467 | 2018-08-24 |
| 1326566928 | Leah Rae Boyd | Physician Assistant | 400 Warren Ave Ste 200, Bremerton, WA 98337-1467 | 2017-09-03 |
| 1255858981 | Samantha Nicole Bylsma | Physician Assistant | 2520 Cherry Ave, Bremerton, WA 98310-4229 | 2017-08-24 |
| 1699102871 | Tamara A C Dotson | Physician Assistant | 2520 Cherry Ave, Bremerton, WA 98310-4229 | 2013-10-02 |
| 1023359064 | Andrew T. Darrah | Physician Assistant | 1 Boone Rd, Bremerton, WA 98312-1898 | 2013-03-14 |
| Find all providers in BREMERTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.