Provider Demographics
NPI:1356333470
Name:STERNBERG, RICHARD I (DO)
Entity Type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:I
Last Name:STERNBERG
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 OFFICE PARK DR
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:OH
Mailing Address - Zip Code:45013-1496
Mailing Address - Country:US
Mailing Address - Phone:513-893-5864
Mailing Address - Fax:513-893-5864
Practice Address - Street 1:25 OFFICE PARK DR
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:OH
Practice Address - Zip Code:45013-1496
Practice Address - Country:US
Practice Address - Phone:513-893-5864
Practice Address - Fax:513-893-5864
Is Sole Proprietor?:No
Enumeration Date:2005-08-16
Last Update Date:2021-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34004993207RP1001X, 207RC0200X, 207RH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0926841Medicaid
OHST0679414Medicare PIN
OH0926841Medicaid