DR. ERIC WILHELM BERG III (NPI# 1013983543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013983543 |
Entity Type | Individual |
Full Name | DR. ERIC WILHELM BERG III |
Other Name | DR. ERIC W BERG III |
Credential | M.D. |
Practice Address |
Blanchfield Army Community Hospital 650 Joel Drive Ft Campbell KY 42223-5349 |
Mailing Address |
650 Joel Dr Blanchfield Army Hospital Ft Campbell KY 42223-5348 |
Practice Telephone | 2707988372 |
Mailing Telephone | 2707988381 |
Enumeration Date | 2006-02-24 |
Last Update Date | 2018-11-09 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207ZF0201X |
Pathology Specialization: Forensic Pathology |
030008 | GA | Allopathic & Osteopathic Physicians |
Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
030008 | GA | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750850848 | Eric Berg | Physical Therapist | 1440 Ocean Dr Apt 8, Vero Beach, FL 32963-5302 | 2018-11-19 |
1316500549 | Eric Berg | Nurse Anesthetist, Certified Registered | 9601 Baptist Health Dr, Little Rock, AR 72205-6321 | 2019-04-14 |
1265619696 | Eric Edward Berg | Otolaryngology | 5461 Meridian Marks Rd Ste 130, Atlanta, GA 30342 | 2008-01-28 |
1750426631 | Eric Christopher Berg | Nurse Anesthetist, Certified Registered | 115 Porter Drive, Middlebury, VT 05753 | 2007-02-20 |
1346315157 | Eric Berg | Internal Medicine | 985 Prince Frederick Blvd Ste 201, Prince Frederick, MD 20678-3492 | 2006-11-21 |
1477565729 | Eric Christian Berg | Anesthesiology | 906 W Mcdermott Dr, #116-371, Allen, TX 75013-6510 | 2006-08-13 |
1891754958 | Eric R Berg | Dermatology | 1 S Park St, Madison, WI 53716 | 2006-03-18 |
Street Address |
BLANCHFIELD ARMY COMMUNITY HOSPITAL 650 JOEL DRIVE |
City | FT CAMPBELL |
State | KY |
Zip Code | 42223-5349 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710347075 | Joshua John Stein | Emergency Medicine | Blanchfield Army Community Hospital, 650 Joel Drive, Ft Campbell, KY 42223 | 2016-02-29 |
1700243441 | Kevin Edward Kearney | Student in an Organized Health Care Education/Training Program | Blanchfield Army Community Hospital, 650 Joel Drive, Ft Campbell, KY 42223 | 2016-01-26 |
1619114709 | Ronald Lee Milam Jr. | Nurse Anesthetist, Certified Registered | Blanchfield Army Community Hospital, 650 Joel Drive, Ft Campbell, KY 42223 | 2009-01-12 |
1619121944 | Heather Nicole Willis | Psychologist | Blanchfield Army Community Hospital, 650 Joel Dr, Ft Campbell, KY 42223-5318 | 2008-11-13 |
1982670428 | Susan Marie Vail | Counselor | Blanchfield Army Community Hospital, 650 Joel Drive, Ft Campbell, KY 42223-5349 | 2006-02-24 |
1376519041 | Vernon Garfield Thomas | Counselor | Blanchfield Army Community Hospital, 650 Joel Drive, Ft Campbell, KY 42223-5349 | 2006-02-23 |
1194791897 | Sandra Kay Cannon | Counselor | Blanchfield Army Community Hospital, 650 Joel Drive, Ft Campbell, KY 42223-5349 | 2006-02-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558978825 | Eden Addisu Kebede | Social Worker | Ft. Campbell/bach, 650 Joel Drive, Fort Campbell, KY 42223 | 2020-09-30 |
1174134662 | Lucas Pepper | Dentist | Desert Storm Ave, Bldg 5580, Apo, AA 42223 | 2020-08-10 |
1639711203 | Travis Robert Bryant | Optometrist | 5979 Desert Storm Ave., Lapointe Health Clnic Optometry, Ft. Campbell, KY 42223 | 2019-10-15 |
1184138232 | Vanessa Renee Simmons | Dental Assistant | 302b Baker St, Fort Campbell, KY 42223 | 2017-11-28 |
1922451996 | Isabella Julson | Dental Assistant | Bldg2441 21st Street, Us Army Dental Activity, Fort Campbell, KY 42223 | 2016-07-14 |
1336595305 | Heidi Cameron | Acupuncturist | 2889b Idaho Avenue, Fort Campbell, KY 42223 | 2016-05-10 |
1649644154 | Nathan Silvey | Physician Assistant | Building 4179, Fort Campbell, KY 42223 | 2015-11-20 |
1396145306 | Blanchfield Army Community Hospital | Clinic/Center | Bldg 2403, Air Assault St and Indiana Ave, Fort Campbell, KY 42223 | 2014-08-27 |
1275948564 | Rodney C Merkley | Psychologist | Building 3929, Ft. Capmbell, KY 42223 | 2014-06-25 |
1659785053 | Blanchfield Army Community Hospital | Clinic/Center | Bldg 6747 A Shau Valley Road, Fort Campbell, KY 42223 | 2014-06-13 |
Find all providers in zip 42223 |
Taxonomy Code | 207ZP0102X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pathology |
Specialization | Anatomic Pathology & Clinical Pathology |
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801397005 | Lourente Bacus Tigas | Pathology | 330 Quail Ct, Russell, KY 41169-1575 | 2018-02-22 |
1275064743 | Treeva Jassim | Pathology | 800 Rose St Ste Ms -117, Lexington, KY 40536 | 2017-03-25 |
1265889372 | Alfred Bennett Jenson | Pathology | 2307 River Road, Suite 101, Louisville, KY 40206-5000 | 2016-05-18 |
1184983819 | Jessica Howard | Pathology | 3408 Squire Oak Dr, Lexington, KY 40515-1338 | 2012-05-15 |
1073871802 | Zhan Ye | Pathology | Department of Pathology 800 Rose St, Ms117, Lexington, KY 40536-0298 | 2012-04-30 |
1568720498 | Beth Ellen Frost | Pathology | Hq101 University of Kentucky, 800 Rose Street, Lexington, KY 40536-0288 | 2012-04-28 |
1104104801 | Lawrence Harold Boram | Pathology | 1918 Charbdin Pl, Louisville, KY 40207-1678 | 2011-07-28 |
1639482748 | Lauren Lippincott | Pathology | 10511 La Grange Rd, Louisville, KY 40223-1277 | 2010-07-17 |
1447447131 | Alka Uppal Khanna | Pathology | 3900 Southern Hills Dr, Ashland, KY 41102-7402 | 2007-09-26 |
1215132550 | Elena Samoilova | Pathology | Uk Department of Pathology 800 Rose St, Ms147, Lexington, KY 40536-0298 | 2007-06-18 |
Find all providers with the same taxonomy |
City | FT CAMPBELL |
Zip Code | 42223 |
Please comment or provide details below to improve the information on DR. ERIC WILHELM BERG III.
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.