Provider Demographics
NPI:1508820796
Name:CHERE, MITCHEL (MD)
Entity Type:Individual
Prefix:DR
First Name:MITCHEL
Middle Name:
Last Name:CHERE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:360 N IRBY ST
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29501-2808
Mailing Address - Country:US
Mailing Address - Phone:843-667-9414
Mailing Address - Fax:843-667-1362
Practice Address - Street 1:360 N IRBY ST
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29501-2808
Practice Address - Country:US
Practice Address - Phone:843-667-9414
Practice Address - Fax:843-667-1362
Is Sole Proprietor?:No
Enumeration Date:2006-04-14
Last Update Date:2022-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT024427207V00000X
SC86988207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT181488OtherWELLCARE
CT03-70683OtherUHC
CTP00964315OtherRR MEDICARE
CT001244276Medicaid
CT03-70683OtherAMERICHOICE
CT010024427CT03OtherANTHEM BCBS CT
CT231767OtherUSA
CTP2608697OtherOXFORD
CT2V2114OtherHEALTHNET/COMMERCIAL
CT024427OtherCONNECTICARE
CT2769163/4262581OtherAETNA
CTP2608697OtherOXFORD
CT181488OtherWELLCARE
CTD02896Medicare UPIN