CLIFFORD H. PEMBERTON – NPI #1770592792
Internal Medicine

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

CLIFFORD PEMBERTON is a physician located in WYNNEWOOD, PA. NPPES has assigned the NPI number 1770592792 to CLIFFORD PEMBERTON on August 07, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207RH0003X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Hematology & Oncology

The NPI profile was previously updated about 19 years ago on Jul 08, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CLIFFORD PEMBERTON below.

NPI Profile for
CLIFFORD H. PEMBERTON

NPI Number
1770592792
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
CLIFFORD H. PEMBERTON
Primary location
100 LANCASTER AVE
MAIN LINE ONCOLOGY HEMOTOLOGY ASSOCIATES
WYNNEWOOD, PA 19096
Phone: (610) 645-2494 Fax: (610) 645-4456
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Identifiers

Identifiers for CLIFFORD PEMBERTON

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
OTHERAETNA2128677
OTHERBLUE CROSS HMO0061348000
OTHERCIGNA1225231
OTHERPRUDENTIAL233000687002
MEDICAIDPA000919262001
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RH0003X
- Internal Medicine / Hematology & Oncology (Primary)
PA MD023913E

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.