MEDICARE: CHERIAN JOHN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	MD033648E	PA
2	207R00000X	Internal Medicine Physician	14686	WV
3	207R00000X	Internal Medicine Physician	35054409J	OH
4	207RC0000X	Cardiovascular Disease Physician	MD033648E	PA
5	207RC0000X	Cardiovascular Disease Physician	14686	WV
6	207RC0000X	Cardiovascular Disease Physician	35054409J	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00011255	OTHER	WV	RR MEDICARE
5	P00011256	OTHER	PA	RR MEDICARE
6	P00330359	OTHER	OH	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1891792099
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHERIAN JOHN MD

Provider Business Mailing Address
First Line	:	560 STEUBENVILLE PIKE
Second Line	:
City	:	BURGETTSTOWN
State	:	PA
Zip	:	15021-8539
Country	:	US
Telephone Number	:	724-947-5350
Fax Number	:	740-947-0206

Provider Business Practice Location Address
First Line	:	560 STEUBENVILLE PIKE
Second Line	:
City	:	BURGETTSTOWN
State	:	PA
Zip	:	15021-8552
Country	:	US
Telephone Number	:	724-947-5053
Fax Number	:	724-947-0206

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/01/2005
Last Update Date	:	09/12/2012

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Directions to “ CHERIAN JOHN MD” Practice Location

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