Berthold Pembaur, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

35044521 Issued in OH

Practice address

6010 S Mason Montgomery Rd
Mason, OH 45040-3706

Phone

(513) 246-7000

Fax

(513) 204-6355

NPI assigned

Jun 12, 2006

Last updated

Feb 5, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360022400000",
    "number": "1245272517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 WESLEY AVE",
            "address_2": "STE N",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452122298",
            "telephone_number": "513-246-7796",
            "fax_number": "513-246-7855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6010 S MASON MONTGOMERY RD",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450403706",
            "telephone_number": "513-246-7000",
            "fax_number": "513-204-6355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEMBAUR",
        "first_name": "BERTHOLD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2013-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35044521",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0419194",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pearle Vision Center of Puerto Rico, Inc.
• Pearle Visioncare Inc
• Evelyn Byrd Peckskamp, MA, LPCC
• Betsy R Peerless, MD
• John Andrew Peltz, PSY.D.
• Jessica L Penkal, LISW
• Amy Lynn Pennetti, RPH
• Kelsey Pepper, CNIM
• Jarred Glenn Pertuset, D.C.
• Amy Lynn Peters, RN

• Internal Medicine Physician in Mason, OH
• Providers in Mason, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.