Organization Active NPI

Harold T. Pretorius, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Bellevue, KY
National Provider Identifier
1043657489
Registry record updated Dec 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
31919 Issued in KY
Legal business name
HAROLD T. PRETORIUS, M.D.
Practice address
103 Landmark Dr
Suite 365
Bellevue, KY 41073-1393
Phone
(513) 561-3797
Fax
(513) 561-4043
NPI assigned
May 24, 2013
Last updated
Dec 9, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Harold T. Pretorius, M.D.NPI 1760431159
Title
Physician
Phone
(513) 561-3797

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 31919 KY Primary

Addresses

Primary practice location

103 Landmark Dr
Suite 365
Bellevue, KY 41073-1393

Mailing address

4743 Cornell Rd
Blue Ash, OH 45241-2432
Phone (513) 561-3797

Other identifiers 1

IdentifierTypeStateIssuer
31919OtherKYMEDICAL LICENSE

National Provider Directory

National Provider Directory
Tax ID family
Harold T Pretorius MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

103 Landmark Dr
Ste 365
Bellevue, KY 41073
Phone (513) 561-3797

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1369353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386547200000",
    "number": "1043657489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4743 CORNELL RD",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452412432",
            "telephone_number": "513-561-3797",
            "fax_number": "513-561-4043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 LANDMARK DR",
            "address_2": "SUITE 365",
            "city": "BELLEVUE",
            "state": "KY",
            "postal_code": "410731393",
            "telephone_number": "513-561-3797",
            "fax_number": "513-561-4043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAROLD T. PRETORIUS, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-24",
        "last_updated": "2013-12-09",
        "status": "A",
        "authorized_official_last_name": "PRETORIUS",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "513-561-3797",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "KY",
            "license": "31919",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "31919",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.