Provider Demographics
NPI:1508029661
Name:SCOTT A CHERNE, MD PA
Entity Type:Organization
Organization Name:SCOTT A CHERNE, MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:A
Authorized Official - Last Name:CHERNE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:541-687-9007
Mailing Address - Street 1:PO BOX 10888
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97440-2888
Mailing Address - Country:US
Mailing Address - Phone:541-687-9007
Mailing Address - Fax:541-687-9120
Practice Address - Street 1:1314 NW JOHN JONES DR
Practice Address - Street 2:
Practice Address - City:BURLESON
Practice Address - State:TX
Practice Address - Zip Code:76028-8040
Practice Address - Country:US
Practice Address - Phone:541-687-9007
Practice Address - Fax:541-687-9120
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-08
Last Update Date:2009-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXM6081OtherTEXAS MEDICAL LICENSE