GENNADY P CHERNYAK (NPI# 1487698072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487698072 |
| Entity Type | Individual |
| Full Name | GENNADY P CHERNYAK |
| Credential | PA |
| Practice Address |
1808 West Royale Drive Dermatology Clinic of Muncie, Inc. Muncie IN 47304-2243 |
| Practice Telephone | 7652888188 |
| Practice Fax Number | 7652827242 |
| Mailing Telephone | 7652888188 |
| Mailing Fax Number | 7652827242 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2016-03-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 10000699A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | PHYSICIAN ASSISTANT CERT | 10000699A | 01 |
| Street Address |
1808 WEST ROYALE DRIVE DERMATOLOGY CLINIC OF MUNCIE, INC. |
| City | MUNCIE |
| State | IN |
| Zip Code | 47304-2243 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821627191 | Free To Flourish Counseling and Consulting | Marriage & Family Therapist | 4304 W Coyote Run Court, Muncie, IN 47304 | 2020-04-07 |
| 1205477957 | Muncie Treatment Center, LLC | Clinic/Center | 3640 Briarwood Lane, Muncie, IN 47304 | 2019-10-03 |
| 1508415225 | Susanna Florence Nalliah I | Pharmacist | Iu Health Ball Memorial Hospital Inpatient Pharmacy, 2401 W. University Ave, Muncie, IN 47304 | 2019-09-05 |
| 1235624289 | Kregg Koons O.d., Inc. | Optometrist | 3300 Purdue Ave., Muncie, IN 47304 | 2018-06-22 |
| 1013409242 | Julia Powers | Social Worker | 8425 W Ashford Ln, Muncie, IN 47304 | 2018-06-04 |
| 1851803456 | Dianna Marie Johnson | Nurse Practitioner | 3411 N Briarwood Ln, Muncie, IN 47304 | 2017-11-04 |
| 1780082917 | Quad Med LLC | Clinic/Center | 3800 West Kilgore Ave, Muncie, IN 47304 | 2014-12-22 |
| 1629418173 | Mark Allen Wise | Physical Therapist | 3607 N Everbrook Lane, Muncie, IN 47304 | 2013-06-28 |
| 1396094280 | Planned Parenthood of Indiana Muncie | Clinic/Center | 3550 W. Fox Ridge Lane, Muncie, IN 47304 | 2012-09-06 |
| 1043595655 | Olukayode Bamidele | Physical Therapist | 3601 W. Moore Road, Muncie, IN 47304 | 2011-10-14 |
| Find all providers in zip 47304 | ||||
| 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 |
|---|---|---|---|---|
| 1437787066 | Stephanie L Sullender | Physician Assistant | 3500 W Purdue Ave, Muncie, IN 47304-6357 | 2020-03-30 |
| 1861031593 | Lauren Stavroff | Physician Assistant | 4008 W Bethel Ave, Muncie, IN 47304-5442 | 2019-12-28 |
| 1972086437 | Richard B Shore II | Physician Assistant | 2401 W University Ave, Muncie, IN 47303-3428 | 2018-09-11 |
| 1376064972 | Stephanie N Murdock | Physician Assistant | 2401 W University Ave, Muncie, IN 47303-3428 | 2017-07-05 |
| 1801347299 | Joseph Richichi | Physician Assistant | 3600 W Bethel Ave, Muncie, IN 47304-5407 | 2016-10-20 |
| 1366992653 | Robert S Lynch | Physician Assistant | 2401 W University Ave, Muncie, IN 47303-3428 | 2016-10-11 |
| 1114476611 | Karissa Carpenter | Physician Assistant | 3600 W Bethel Ave, Muncie, IN 47304-5407 | 2016-09-25 |
| 1295101079 | Brittani Sizelove | Physician Assistant | 3600 W Bethel Ave, Muncie, IN 47304-5407 | 2015-08-17 |
| 1407283781 | Shc Medical Partners of Indiana, LLC | Physician Assistant | 4301 N Walnut St, Muncie, IN 47303-1190 | 2013-10-02 |
| 1942579321 | Whitney Ann Crider | Physician Assistant | 3631 N Morrison Rd, Muncie, IN 47304-5547 | 2011-12-14 |
| Find all providers in MUNCIE | ||||
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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.