Active NPI
Matthew C. Bernhard, M.D., LLC
- Orthopaedic Surgery Physician
- Ashland, OH
National Provider Identifier
1104909613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 35077636
- Legal business name
- MATTHEW C. BERNHARD, M.D., LLC
- Practice address
- 45 Amberwood Pkwy
Ashland, OH 44805-9765 - Phone
- (419) 289-1774
- NPI assigned
- Oct 21, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Matthew C Bernhard, M.D.
- Title
- President
- Phone
- (419) 289-1774
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 35077636 | OH | Primary |
Addresses
Primary practice location
45 Amberwood Pkwy
Ashland, OH 44805-9765
Mailing address
PO Box 22958
Cleveland, OH 44122-0958
Phone (216) 595-9600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2387797 | Medicaid | OH |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161388800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1415059200000",
"number": "1104909613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 22958",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441220958",
"telephone_number": "216-595-9600",
"fax_number": "216-595-9601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 AMBERWOOD PKWY",
"city": "ASHLAND",
"state": "OH",
"postal_code": "448059765",
"telephone_number": "419-289-1774"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MATTHEW C. BERNHARD, M.D., LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-21",
"last_updated": "2014-11-04",
"status": "A",
"authorized_official_last_name": "BERNHARD",
"authorized_official_first_name": "MATTHEW",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "419-289-1774",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": "OH",
"license": "35077636",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2387797",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ashland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.