KYLE BERTRAM (NPI# 1003319047) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003319047 |
| Entity Type | Individual |
| Full Name | KYLE BERTRAM |
| Practice Address |
4000 Johnson Rd Steubenville OH 43952-2364 |
| Mailing Address |
28092 County Road 12 Freeport MN 56331-9755 |
| Practice Telephone | 7402648000 |
| Mailing Telephone | 3203331869 |
| Enumeration Date | 2018-03-15 |
| Last Update Date | 2020-04-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356842934 | Kyle Andrew Bertram | Pharmacist | 1353 Dorchester Ave, Dorchester, MA 02122-2932 | 2018-02-28 |
| Street Address |
4000 JOHNSON RD |
| City | STEUBENVILLE |
| State | OH |
| Zip Code | 43952-2364 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194722272 | Nancy Benton | Nurse Practitioner | 4000 Johnson Rd, Steubenville, OH 43952-2364 | 2005-07-05 |
| 1598372856 | James Joseph Calevro | Registered Nurse | 4000 Johnson Rd, Steubenville, OH 43952-2364 | 2020-09-30 |
| 1205451135 | Derek Schoppert | Emergency Medicine | 4000 Johnson Rd, Steubenville, OH 43952-2364 | 2020-06-16 |
| 1053935262 | Matthew John Carney | Student in an Organized Health Care Education/Training Program | 4000 Johnson Rd, Steubenville, OH 43952-2364 | 2020-06-03 |
| 1639791205 | Lauren Peakes | Dietitian, Registered | 4000 Johnson Rd, Steubenville, OH 43952-2364 | 2020-05-17 |
| 1912528050 | Thu Nguyen | Student in an Organized Health Care Education/Training Program | 4000 Johnson Rd, Steubenville, OH 43952-2364 | 2020-04-29 |
| 1275153611 | Alexander Thomas Hernandez | Student in an Organized Health Care Education/Training Program | 4000 Johnson Rd, Steubenville, OH 43952-2364 | 2020-04-24 |
| 1124648571 | Kevin Ralph Pollock | Student in an Organized Health Care Education/Training Program | 4000 Johnson Rd, Steubenville, OH 43952-2364 | 2020-04-24 |
| 1134749674 | Taylor John Kovalycsik | Student in an Organized Health Care Education/Training Program | 4000 Johnson Rd, Steubenville, OH 43952-2364 | 2020-04-24 |
| 1770103459 | Gaurav Mandal | Student in an Organized Health Care Education/Training Program | 4000 Johnson Rd, Steubenville, OH 43952-2364 | 2020-04-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710506670 | Shyam Patel | Internal Medicine | 381 Summit Ave, Steubenville, OH 43952 | 2020-04-10 |
| 1629582929 | Caleb Michael Knorr | Counselor | 740 N. Sixth St., Steubenville, OH 43952 | 2017-11-22 |
| 1023565694 | Rebecca Antonelli | Case Manager/Care Coordinator | 3200 Johnson Rd., Steubenville, OH 43952 | 2016-09-01 |
| 1831502517 | Jack Lee Fluharty Jr. | Contractor | 1498 State Route 213, Steubenville, OH 43952 | 2014-06-10 |
| 1346519162 | Doyoung Choi | Dentist | 2203 Sunset Blvd, Steubenville, OH 43952 | 2011-12-22 |
| 1356584064 | Washington Healthcare Strategies, Inc. | Anesthesiology | 4000 Johnson Road, Steubenville, OH 43952 | 2009-04-10 |
| 1740431634 | Tamara Ann Skriba-guio | Counselor | 3200 Johnson Road, Steubenville, OH 43952 | 2008-10-09 |
| 1619125879 | Cynthia Ann Vaudrain | Counselor | 1235 Franciscan Way, Steubenville, OH 43952 | 2008-08-29 |
| 1083862361 | Christy A Magary Williams | Social Worker | 2700 Sunset Blvd Ste 13, Steubenville, OH 43952 | 2008-08-28 |
| 1730379389 | Michael J Hromanik | Orthopaedic Surgery | 4100 Johnson Rd Ste 102, Steubenville, OH 43952 | 2007-07-30 |
| Find all providers in zip 43952 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649808098 | Nicholas Dicarlo | Student in an Organized Health Care Education/Training Program | 2703 Whitehaven Blvd, Steubenville, OH 43952-1119 | 2020-03-31 |
| 1174775605 | Diann Susan Schmitt | Student in an Organized Health Care Education/Training Program | 1235 University Blvd, Steubenville, OH 43952-1763 | 2008-10-15 |
| 1053935262 | Matthew John Carney | Student in an Organized Health Care Education/Training Program | 4000 Johnson Rd, Steubenville, OH 43952-2364 | 2020-06-03 |
| 1912528050 | Thu Nguyen | Student in an Organized Health Care Education/Training Program | 4000 Johnson Rd, Steubenville, OH 43952-2364 | 2020-04-29 |
| 1275153611 | Alexander Thomas Hernandez | Student in an Organized Health Care Education/Training Program | 4000 Johnson Rd, Steubenville, OH 43952-2364 | 2020-04-24 |
| 1124648571 | Kevin Ralph Pollock | Student in an Organized Health Care Education/Training Program | 4000 Johnson Rd, Steubenville, OH 43952-2364 | 2020-04-24 |
| 1134749674 | Taylor John Kovalycsik | Student in an Organized Health Care Education/Training Program | 4000 Johnson Rd, Steubenville, OH 43952-2364 | 2020-04-24 |
| 1770103459 | Gaurav Mandal | Student in an Organized Health Care Education/Training Program | 4000 Johnson Rd, Steubenville, OH 43952-2364 | 2020-04-22 |
| 1659991958 | Sergino Nicolas | Student in an Organized Health Care Education/Training Program | 4000 Johnson Rd, Steubenville, OH 43952-2364 | 2020-04-16 |
| 1487273900 | Dhaval Patel | Student in an Organized Health Care Education/Training Program | 4000 Johnson Rd, Steubenville, OH 43952-2364 | 2020-04-14 |
| Find all providers in STEUBENVILLE | ||||
| City | STEUBENVILLE |
| Zip Code | 43952 |
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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.