Son M Bach, MD
Individual provider Active NPI Family Medicine Physician · Mason, OH
NPI 1376758136 · NPPES record last updated May 3, 2023
Key facts
- NPI
- 1376758136
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 093867 (OH)
- Practice address
- 6394 Thornberry CT
Suite 820
Mason, OH 45040-7810 - Phone
- (513) 492-8541
- Fax
- (513) 445-3815
- NPI assigned
- May 14, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 093867 | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Health Care LLC | Past | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Professional Emergency Specialists of Southern Ohio | Past | Accepting new patients | |
| Professional Emergency Specialists of Southern Ohio | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 093867 | OH | Yes |
Addresses
Primary practice location
6394 Thornberry CT
Suite 820
Mason, OH 45040-7810
Mailing address
6394 Thornberry CT
Suite 820
Mason, OH 45040-7810
Phone (513) 492-8541
Other providers in Mason, OH
- Assurex Health, Inc.
- Athletico LTD
- Kerry Atkinson
- Audible Therapy Solutions, LLC
- Jenna Elizabeth Aukerman
- Alicia A Bachus
- Destiny Back
- Cherie L Bagadiong
- Mohamed Bah
- Dona Jo Bailey
All providers in Mason, OH · Family Medicine Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 3, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.