Provider Demographics
NPI:1295705614
Name:CHERNOFF, DAVID B (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:B
Last Name:CHERNOFF
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 1:77 BALDWIN LN
Mailing Address - Street 2:
Mailing Address - City:STAUNTON
Mailing Address - State:VA
Mailing Address - Zip Code:24401-8949
Mailing Address - Country:US
Mailing Address - Phone:540-886-6212
Mailing Address - Fax:
Practice Address - Street 1:40 LAMBERT ST
Practice Address - Street 2:SUITE 522
Practice Address - City:STAUNTON
Practice Address - State:VA
Practice Address - Zip Code:24401-2446
Practice Address - Country:US
Practice Address - Phone:540-885-3525
Practice Address - Fax:540-886-5935
Is Sole Proprietor?:No
Enumeration Date:2006-01-26
Last Update Date:2021-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101-040902207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA005623197Medicaid
VA017867C18Medicare PIN
080005636Medicare PIN
VA005623197Medicaid
080005636Medicare ID - Type Unspecified