Justin B Berthold (NPI# 1558681585, PAC ID# 1557588399) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL MEDICINE AND REHABILITATION.
Nation Provider ID (NPI) | 1558681585 |
PAC ID by PECOS | 1557588399 |
Professional Enrollment ID | I20140819000431 |
Full Name | Justin B Berthold |
Organization Legal Name | DJB MED LLC |
Address |
21 Yost Blvd Forest Hills Plz Suite 144 Pittsburgh PA 15221-5234 |
Phone Number | 4128161400 |
Gender | M |
Medical School | LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE |
Graduation Year | 2010 |
Primary Specialty | PHYSICAL MEDICINE AND REHABILITATION |
Group Practice PAC ID | 7214154046 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
390164 | UPMC PRESBYTERIAN SHADYSIDE |
390265 | JEFFERSON HOSPITAL |
390328 | UPMC EAST |
Address | Phone | Organization |
---|---|---|
2775 Mosside Blvd, Monroeville, PA 15146-2760 | 4123573161 | UNIVERSITY OF PITTSBURGH PHYSICIANS |
21 Yost Blvd Forest Hills Plz, Suite 144, Pittsburgh, PA 15221-5234 | 4128161400 | DJB MED LLC |
Organization Legal Name | DJB MED LLC |
Physicians | 2 |
Name | Specialty | Organization | Address |
---|---|---|---|
Timothy M Burg | Physical Medicine and Rehabilitation | Djb Med LLC | 21 Yost Blvd Forest Hills Plz, Suite 144, Pittsburgh, PA 15221-5234 |
Street Address |
21 YOST BLVD FOREST HILLS PLZ SUITE 144 |
City | PITTSBURGH |
State | PA |
Zip | 15221-5234 |
Name | Specialty | Organization | Address |
---|---|---|---|
Timothy M Burg | Physical Medicine and Rehabilitation | Djb Med LLC | 21 Yost Blvd Forest Hills Plz, Suite 144, Pittsburgh, PA 15221-5234 |
Name | Specialty | Organization | Address |
---|---|---|---|
Judy A Gettle | Psychologist, Clinical | Unity Care P.C. | 224 Penn Ave, Suite A2, Pittsburgh, PA 15221-2154 |
Patrick J Mcelfresh | Psychologist, Clinical | 224 Penn Ave, Suite 2a, Pittsburgh, PA 15221-2154 | |
Anthony J Fallica | Psychologist, Clinical | Unity Care P.C. | 224 Penn Ave, Suite A2, Pittsburgh, PA 15221-2154 |
Roger W Brooke | Clinical Psychologist | Unity Care P.C. | 224 Penn Ave, Suite A2, Pittsburgh, PA 15221-2154 |
Abdul Q Khan | Internal Medicine | Khan Medical Associates LLC | 200 Penn Ave, Pittsburgh, PA 15221-2156 |
Kirstie E Kear | Physician Assistant | Khan Medical Associates LLC | 200 Penn Ave, Pittsburgh, PA 15221-2156 |
Christine Weston | Nurse Practitioner | Khan Medical Associates LLC | 200 Penn Ave, Pittsburgh, PA 15221-2156 |
William T Conklin | Plastic and Reconstructive Surgery | William T. Conklin, M.d. | 225 Penn Ave, Wilkinsburg, PA 15221-2173 |
Erica L Upshaw-givner | Clinical Social Worker | 711 Penn Ave, Suite 2, Wilkinsburg, PA 15221-2216 | |
Kimberly K Mathos | Psychiatry | Milestone Centers Inc. | 716 Wood St, Pittsburgh, PA 15221-2818 |
Find all physicians in zip 15221 |
City | PITTSBURGH |
Zip Code | 15221 |
Specialty | PHYSICAL MEDICINE AND REHABILITATION |
City + Specialty | PITTSBURGH + PHYSICAL MEDICINE AND REHABILITATION |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.