Organization Active NPI

Otto N Bernath MD Inc

  • Geriatric Medicine (Family Medicine) Physician
  • Akron, OH
National Provider Identifier
1285816009
Registry record updated May 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
25665 Issued in OH
Legal business name
OTTO N BERNATH MD INC
Practice address
671 Delaware Ave
Akron, OH 44303-1301
Phone
(330) 836-1898
Fax
(330) 836-1898
NPI assigned
Dec 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2008

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

Authorized official

Name
Otto N Bernath, M.D.
Title
President
Phone
(330) 836-1898

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QG0300X 25665 OH Primary

Addresses

Primary practice location

671 Delaware Ave
Akron, OH 44303-1301

Mailing address

671 Delaware Ave
Akron, OH 44303-1301
Phone (330) 836-1898

Other identifiers 1

IdentifierTypeStateIssuer
2815118MedicaidOH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1196726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211500800000",
    "number": "1285816009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "671 DELAWARE AVE",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443031301",
            "telephone_number": "330-836-1898",
            "fax_number": "330-836-1898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "671 DELAWARE AVE",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443031301",
            "telephone_number": "330-836-1898",
            "fax_number": "330-836-1898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OTTO N BERNATH MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-04",
        "last_updated": "2008-05-23",
        "status": "A",
        "authorized_official_last_name": "BERNATH",
        "authorized_official_first_name": "OTTO",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-836-1898",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "OH",
            "license": "25665",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2815118",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2008; 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.