Provider Demographics
NPI:1942307038
Name:CHERMANSKY, CHRISTOPHER (MD)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:
Last Name:CHERMANSKY
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 1:300 HALKET STREET
Mailing Address - Street 2:SUITE 2541
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15213
Mailing Address - Country:US
Mailing Address - Phone:412-641-1818
Mailing Address - Fax:412-641-1366
Practice Address - Street 1:300 HALKET STREET
Practice Address - Street 2:SUITE 2541
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213
Practice Address - Country:US
Practice Address - Phone:412-641-1818
Practice Address - Fax:412-641-1366
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2021-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD418680208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1562751Medicaid
PA068128MLCMedicare ID - Type UnspecifiedMEDICARE PROVIDER
LA1562751Medicaid
LA4N544F669Medicare PIN
H80152Medicare UPIN