DR. JACK MARK BERNSTEIN (NPI# 1043212772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1043212772 |
Entity Type | Individual |
Full Name | DR. JACK MARK BERNSTEIN |
Credential | M.D. |
Practice Address |
3533 Southern Blvd Ste 4200 Kettering OH 45429-1272 |
Practice Telephone | 9375727648 |
Practice Fax Number | 9378328279 |
Mailing Telephone | 9375727648 |
Mailing Fax Number | 9378328279 |
Enumeration Date | 2005-08-12 |
Last Update Date | 2019-02-06 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
35-055759 | OH | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | 0438922 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457301384 | Jack M Bernstein | Internal Medicine | 101 S San Mateo Dr, San Mateo, CA 94401-3819 | 2006-05-11 |
Street Address |
3533 SOUTHERN BLVD STE 4200 |
City | KETTERING |
State | OH |
Zip Code | 45429-1272 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053635045 | Shruti Hitendrabhai Patel | Internal Medicine | 3533 Southern Blvd Ste 4200, Kettering, OH 45429-1272 | 2010-03-18 |
1023061207 | Infectious Diseases Associates Inc | Internal Medicine | 3533 Southern Blvd Ste 4200, Kettering, OH 45429-1272 | 2006-05-18 |
1386646057 | Catherine Dutton Bacheller | Internal Medicine | 3533 Southern Blvd Ste 4200, Kettering, OH 45429-1272 | 2005-08-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821576414 | Lauren Danielle Sivley | Nurse Practitioner | 3535 Sourthern Boulevard, Kettering, OH 45429 | 2018-08-06 |
1114446127 | Louai Al-samkari | Chiropractor | 1441 E. Stroop Rd., Kettering, OH 45429 | 2017-09-12 |
1407373756 | Benjamin Edward Adkins | Specialist/Technologist | 4116 Vinita Dr., Kettering, OH 45429 | 2017-08-28 |
1972036341 | James Kim | Student in an Organized Health Care Education/Training Program | 3535 Southern Boulevard, Kettering, OH 45429 | 2017-04-04 |
1023549847 | Adrienne Krysiak | Emergency Medicine | 3525 Southern Boulevard, Kettering, OH 45429 | 2017-03-23 |
1386021889 | Cassandra Mckoy | Counselor | 529 East Stroop Road, Kettering, OH 45429 | 2015-05-04 |
1417343088 | Candace Benoit | Obstetrics & Gynecology | 3533 Southern Blvd Ste 4600, Dayton, OH 45429 | 2015-04-10 |
1275933574 | Lee Schwieterman | Nurse Practitioner | 3535 Southern Blvd., 1 East, Kettering, OH 45429 | 2014-08-25 |
1497161947 | Robert Jonathon Fresch Jr. | Obstetrics & Gynecology | 3533 Southern Blvd Ste 3750, Kettering, OH 45429 | 2014-07-05 |
1821349812 | Lucas Brewer | Counselor | 1524 E Stroop Rd Ste 300, Kettering, OH 45429 | 2012-10-01 |
Find all providers in zip 45429 |
Taxonomy Code | 207RI0200X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Infectious Disease |
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982826186 | David Allen Saunders | Internal Medicine | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2007-05-03 |
1386646057 | Catherine Dutton Bacheller | Internal Medicine | 3533 Southern Blvd Ste 4200, Kettering, OH 45429-1272 | 2005-08-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902422470 | Aids Healthcare Foundation | Internal Medicine | 815 W Broad St # 350, Columbus, OH 43222-1464 | 2020-06-22 |
1801378302 | Nicole M Cleland | Internal Medicine | 540 Parmalee Ave Ste 610, Youngstown, OH 44510-1605 | 2018-08-30 |
1316339104 | Premier Specialists In Infectious Disease, LLC | Internal Medicine | 4316 Dressler Rd Nw, Canton, OH 44718-2752 | 2015-03-03 |
1104222603 | Mohammad Ali Rai | Internal Medicine | 200 Eden Avenue, Cincinnati, OH 45219-0001 | 2014-11-10 |
1114335601 | Francis Gertrudis Wadskier Montagne | Internal Medicine | 400 Matthew St Ste 202, Marietta, OH 45750-1656 | 2014-07-28 |
1669895660 | Harrison Bradford Hawley | Internal Medicine | 6761 Trailview Dr, Dayton, OH 45414-2165 | 2014-01-27 |
1225472376 | Rishi Sharma | Internal Medicine | 3609 Park East Dr., Suite 207, Beachwood, OH 44122-4309 | 2013-04-19 |
1811277460 | Klaus Infectious Disease LLC | Internal Medicine | 837 Park St, Columbus, OH 43215-1441 | 2011-08-26 |
1538450580 | Infectious Disease Physicians, LLC | Internal Medicine | 3864 Maple Grove Ln, Dayton, OH 45440-4502 | 2011-04-26 |
1003110685 | Charles Harding King | Internal Medicine | 5550 Vanture Drive, Cuyahoga County Board of Health, Parma, OH 44130-9315 | 2010-12-22 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.