KEITH R BEREND (NPI# 1003809484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003809484 |
| Entity Type | Individual |
| Full Name | KEITH R BEREND |
| Credential | MD |
| Practice Address |
7277 Smiths Mill Rd Suite 200 New Albany OH 43054-8195 |
| Practice Telephone | 6142216331 |
| Practice Fax Number | 6143042100 |
| Mailing Telephone | 6142216331 |
| Mailing Fax Number | 6143042100 |
| Enumeration Date | 2005-08-31 |
| Last Update Date | 2016-05-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
35-08-1039 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2322034 | 05 |
| Street Address |
7277 SMITHS MILL RD SUITE 200 |
| City | NEW ALBANY |
| State | OH |
| Zip Code | 43054-8195 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568467124 | Chad E Dyer | Nurse Anesthetist, Certified Registered | 7277 Smiths Mill Rd, Ste 370, New Albany, OH 43054-8195 | 2005-06-20 |
| 1013455021 | John Matthew Lanning II | Physician Assistant | 7277 Smiths Mill Rd, Suite 200, New Albany, OH 43054-8195 | 2017-02-09 |
| 1033654934 | Emily Evans | Physical Therapist | 7277 Smiths Mill Rd, #100, New Albany, OH 43054 | 2016-12-30 |
| 1023465192 | Robert Hinton | Physical Therapist | 7277 Smiths Mill Rd, 100, New Albany, OH 43054-8195 | 2016-05-19 |
| 1407248354 | Katherine Sima | Registered Nurse | 7277 Smiths Mill Rd, Suite 370, New Albany, OH 43054-8195 | 2015-03-02 |
| 1174968705 | White Fence Anesthesia LLC | Anesthesiology | 7277 Smiths Mill Rd, Suite 300, New Albany, OH 43054-8195 | 2013-05-09 |
| 1033468400 | White Fence Surgical Suites, LLC | Clinic/Center | 7277 Smiths Mill Rd, Suite 300, New Albany, OH 43054-8195 | 2012-08-31 |
| 1396090171 | Julie Ziegler Renner | Physical Therapist | 7277 Smiths Mill Rd, New Albany, OH 43054 | 2012-07-18 |
| 1245595636 | Kara Aileen Gorey | Physical Therapist | 7277 Smiths Mill Rd, 100, New Albany, OH 43054-8195 | 2012-07-11 |
| 1538447990 | Kristina Elizabeth Zellner | Physical Therapist | 7277 Smiths Mill Rd, New Albany, OH 43054-8195 | 2011-08-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205482189 | Trilogy Healthcare of Franklin IIi, LLC | Skilled Nursing Facility | 7320 Smith's Mill Road, New Albany, OH 43054 | 2019-08-15 |
| 1003322785 | Frank Anthony Micchia IIi | Pharmacist | 5161 Hampsted Village Way, New Albany, OH 43054 | 2017-12-18 |
| 1548772627 | Samira Yusuf Beyle | Case Manager/Care Coordinator | 6524 Clifton Park Cir N, 201, New Albany, OH 43054 | 2017-10-30 |
| 1972913200 | Dr. Timothy J. Backiewicz, D.d.s., Inc. | Dentist | 68 N. High St., Building F, New Albany, OH 43054 | 2014-05-08 |
| 1497062624 | Kenzi Michelle Schafer | Physician Assistant | 102 W Main St Unit 175, New Albany, OH 43054 | 2010-09-09 |
| 1215248133 | Amanda Esch | Nurse Practitioner | 102 W. Main St. #175, New Albany, OH 43054 | 2010-06-24 |
| 1396063988 | Sarah Westbrook | Licensed Practical Nurse | 5781 Halton Gill Ln., New Albany, OH 43054 | 2010-05-07 |
| 1821326125 | Wesley Hospice, LLC | Hospice Care, Community Based | 4588 Wesley Woods Blvd Ste 2a, New Albany, OH 43054 | 2009-11-24 |
| 1033326319 | Heather Lynn Benjamin | Physical Therapy Assistant | 7277 Smith's Mill Rd., Suite 300, Ne Albany, OH 43054 | 2007-05-17 |
| 1548483670 | Jimmy M Henry | Physical Medicine & Rehabilitation | 5051 Forest Dr, New Albany, OH 43054 | 2007-04-10 |
| Find all providers in zip 43054 | ||||
| Taxonomy Code | 207XS0114X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Adult Reconstructive Orthopaedic Surgery |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760667810 | Jason Michael Hurst | Orthopaedic Surgery | 7277 Smiths Mill Rd, Suite 200, New Albany, OH 43054-8195 | 2008-01-08 |
| 1700879186 | Adolph V Lombardi Jr. | Orthopaedic Surgery | 7277 Smiths Mill Rd, Suite 200, New Albany, OH 43054-8195 | 2005-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225472319 | Zackary Ostin Byrd | Orthopaedic Surgery | 515 Union Ave Ste 167, Dover, OH 44622-3005 | 2013-04-19 |
| 1992003149 | John Patrick Mclaughlin | Orthopaedic Surgery | 9500 Euclid Ave A41, Cleveland, OH 44195-1004 | 2011-03-10 |
| 1326289257 | William Burgette | Orthopaedic Surgery | 4343 All Seasons Dr Ste 140, Hilliard, OH 43026-1962 | 2009-03-24 |
| 1457449639 | North Hill Orthopaedic Surgery, Inc. | Orthopaedic Surgery | 1 Park Center Dr Ste 304, One Park Centre Drive, Wadsworth, OH 44281-9452 | 2006-10-11 |
| 1578573895 | John F.m. O'leary | Orthopaedic Surgery | 2438 Billiton Ct, Columbus, OH 43220-2804 | 2006-08-09 |
| 1659356822 | Douglas J Chonko | Orthopaedic Surgery | 543 Taylor Ave Fl 1, Columbus, OH 43203-1278 | 2005-12-10 |
| 1518954387 | Mark Eric Knable | Orthopaedic Surgery | 75 Hospital Dr Ste 140, Athens, OH 45701-2858 | 2005-10-05 |
| 1942206073 | Paul J. Cangemi | Orthopaedic Surgery | 10 N Locust St, Ste 1b, Oxford, OH 45056-1182 | 2005-06-23 |
| 1255801452 | Ashlee R Grow | Orthopaedic Surgery | 7551 Fredle Dr, Concord Township, OH 44077-9406 | 2018-11-29 |
| 1144774241 | Alexander Greenberg | Orthopaedic Surgery | 2500 Metrohealth Dr, Cleveland, OH 44109-1900 | 2016-08-08 |
| Find all providers with the same taxonomy | ||||
| City | NEW ALBANY |
| Zip Code | 43054 |
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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.