Stephen M. Berg, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

47549 Issued in OH

Legal business name

STEPHEN M. BERG, M.D.

Doing business as

Internal Medicine of Blue Ash

Practice address

9330 Kenwood Rd
Cincinnati, OH 45242-6810

Phone

(513) 891-5900

Fax

(513) 891-0762

NPI assigned

Nov 21, 2007

Last updated

Sep 18, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Autumn H Thomas

Title

Practice Manager

Phone

(513) 891-5900

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Internal Medicine of Blue Ash Doing business as

Locations

Practitioners 3

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.

• Connie S Glischinski

  • Primary Care Nurse Practitioner
  • Blue Ash, OH
  • NPI 1184221954
  NPD (past)
• Kristin Heenan, CNP

  • Nurse Practitioner
  • Cincinnati, OH
  • NPI 1053364737
  NPD (past)
• Rebecca B O'Der, C.F.N.P.

  • Family Nurse Practitioner
  • Cincinnati, OH
  • NPI 1790873495
  NPD (past)

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

{
    "created_epoch": "1195603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410998400000",
    "number": "1619158375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9330 KENWOOD RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452426810",
            "telephone_number": "513-891-5900",
            "fax_number": "513-891-0762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9330 KENWOOD RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452426810",
            "telephone_number": "513-891-5900",
            "fax_number": "513-891-0762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN M. BERG, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-21",
        "last_updated": "2014-09-18",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "AUTUMN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "513-891-5900",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "47549",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0553726",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "9315621",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "010014039",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Internal Medicine of Blue Ash",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephanie Tunison Counseling, Ma, LPCC-S (Stephanie Tunison Counseling, MA, LPCC-S, LLC)
• Stephanie Young Counseling Services (Youthworks Counseling Services)
• Stephen B Heilman Counseling Resource Associates
• Stephen D. Heis, MD & Associates, Inc
• Stephen M Haverkos DMD LLC (Haverkos Family Orthodontics)
• Stephen W. Halmi, Psy.D. Clinical Psychologist, LLC
• Stacy Stephen
• Lesley Joy Stephens Blunt
• Deangelo M Stephens-Bell
• Arlinda Stephens-Harris

• Internal Medicine Physician in Cincinnati, OH
• Providers in Cincinnati, 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 Sep 18, 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.

Verify at the official NPI Registry.