NPIMap

Organization Active NPI

Beresh Pain Management

  • Pain Medicine (Anesthesiology) Physician
  • Hamilton, OH
National Provider Identifier
1154529584
Registry record updated Mar 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
086579 Issued in OH
Legal business name
BERESH PAIN MANAGEMENT
Practice address
840 NW Washington Blvd Ste C
Hamilton, OH 45013-6381
Phone
(513) 737-7246
Fax
(513) 737-6601
NPI assigned
Jul 6, 2007
Last updated
Mar 29, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2018

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

Authorized official

Name
Dr. John E BereshNPI 1700845344
Title
Physician
Phone
(513) 737-7246

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
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP2900X 086579 OH Primary

Addresses

Primary practice location

840 NW Washington Blvd Ste C
Hamilton, OH 45013-6381

Mailing address

840 NW Washington Blvd Ste C
Hamilton, OH 45013-6381
Phone (513) 737-7246

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070905000137 OH Part B Supplier - Clinic/Group Practice 1557454782 Receives reassigned benefits from 11 practitioners
Practice locations: Hamilton, OH
O20180724001776 OH DME Supplier - Physician - Interventional Pain Management 1557454782 Practice locations: Hamilton, OH

National Provider Directory

National Provider Directory

Locations

840 NW Washington Blvd
Hamilton, OH 45013
Phone (513) 737-7246

840 NW Washington Blvd
Ste C
Hamilton, OH 45013
Phone (513) 737-7246

840 NW Washington Blvd
Ste D
Hamilton, OH 45013

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1258/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 12

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": "1183680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522281600000",
    "number": "1154529584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 NW WASHINGTON BLVD STE C",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450136381",
            "telephone_number": "513-737-7246",
            "fax_number": "513-737-6601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 NW WASHINGTON BLVD STE C",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450136381",
            "telephone_number": "513-737-7246",
            "fax_number": "513-737-6601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERESH PAIN MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-06",
        "last_updated": "2018-03-29",
        "status": "A",
        "authorized_official_last_name": "BERESH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "513-737-7246",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "OH",
            "license": "086579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.