Basic Information
| Provider Information | |||||||||
| NPI: | 1578940391 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CHERNEY | ||||||||
| FirstName: | DAVID | ||||||||
| MiddleName: | PATRICK | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1015 N 127TH CIR | ||||||||
| Address2: | |||||||||
| City: | OMAHA | ||||||||
| State: | NE | ||||||||
| PostalCode: | 681541200 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7084397227 | ||||||||
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| Practice Location | |||||||||
| Address1: | 300 W CLARENDON AVE STE 142 | ||||||||
| Address2: | |||||||||
| City: | PHOENIX | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 850133449 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4097721221 | ||||||||
| FaxNumber: | 4097721224 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/30/2015 | ||||||||
| LastUpdateDate: | 06/24/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 06/14/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | 58069 | AZ | N | Allopathic & Osteopathic Physicians | Anesthesiology | 207L00000X | 50058 | IA | N | Allopathic & Osteopathic Physicians | Anesthesiology | 207L00000X | BP10054063 | TX | N | Allopathic & Osteopathic Physicians | Anesthesiology | 207L00000X | 34776 | NE | Y | Allopathic & Osteopathic Physicians | Anesthesiology |
No ID Information.