DAWN M DETWILER BERGER (NPI# 1043210180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043210180 |
| Entity Type | Individual |
| Full Name | DAWN M DETWILER BERGER |
| Credential | MD |
| Practice Address |
54938 State Road 13 Middlebury IN 46540-8608 |
| Mailing Address |
2310 California Road Elkhart IN 46514-1228 |
| Practice Telephone | 5748258685 |
| Practice Fax Number | 5748251256 |
| Mailing Telephone | 5742644163 |
| Mailing Fax Number | 5742629650 |
| Enumeration Date | 2005-07-29 |
| Last Update Date | 2010-02-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 01045293A | IN | Allopathic & Osteopathic Physicians |
| N | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
01045293 | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200123720 | 05 |
| Street Address |
54938 STATE ROAD 13 |
| City | MIDDLEBURY |
| State | IN |
| Zip Code | 46540-8608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033621164 | Ascendant Orthopedic Alliance, LLC | Prosthetic/Orthotic Supplier | 54938 State Road 13, Middlebury, IN 46540-8608 | 2017-10-30 |
| 1285942599 | Orthopedic and Sports Medicine Center of Northern Indiana, Inc. | Durable Medical Equipment & Medical Supplies | 54938 State Road 13, Middlebury, IN 46540-8608 | 2010-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104312172 | Deborah Carol Nethercutt | Nurse Practitioner | 226 W Us Highway 20, Middlebury, IN 46540 | 2018-07-02 |
| 1699277160 | Playful Healing, Inc. | Clinic/Center | 300 Wayne Street, Suite A, Middlebury, IN 46540 | 2018-03-01 |
| 1932648839 | Greta Slabach | Prevention Professional | 205 Southern Cross Dr, Middlebury, IN 46540 | 2017-02-13 |
| 1043460652 | Patricia Sue Berry | Licensed Practical Nurse | 303 Twin Oaks Dr., Middlebury, IN 46540 | 2008-09-19 |
| 1629136536 | Eunice Munn | Social Worker | 106 East Berry Street, Middlebury, IN 46540 | 2006-12-04 |
| 1750354890 | Donald L Munn | Marriage & Family Therapist | 106 E Berry St, Middlebury, IN 46540 | 2006-02-09 |
| 1629524988 | Firefly Home Care LLC | In Home Supportive Care | 100 South Main Street, Middlebury, IN 46540 | 2016-08-28 |
| 1396803805 | Donald Munn | Social Worker | 106 East Berry Street, Middlebury, IN 46540 | 2006-12-05 |
| 1306869144 | G. Weldon Friesen | Family Medicine | 206 W Warren St, Middlebury, IN 46540-0459 | 2006-07-25 |
| 1790707974 | Elizabeth B Gingrich | Family Medicine | 206 W. Warren St, Middlebury, IN 46540-0459 | 2006-07-24 |
| Find all providers in zip 46540 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023180445 | Jessica H Wagener | Emergency Medicine | 115 Porter Drive, Porter Hospital, Middlebury, VT 05753 | 2006-11-14 |
| 1073690426 | Amanda S. Young | Emergency Medicine | 115 Porter Drive, Middlebury, VT 05753 | 2006-11-01 |
| 1063592210 | Robert D Pitts | Emergency Medicine | 115 Porter Dr, Porter Hospital, Middlebury, VT 05753 | 2006-10-16 |
| 1154413615 | Glen R Lovejoy | Emergency Medicine | 115 Porter Drive, Porter Hospital, Middlebury, VT 05753 | 2006-09-29 |
| 1164528584 | William J Nowlan | Emergency Medicine | 115 Porter Drive, Porter Hospital, Middlebury, VT 05753 | 2006-09-15 |
| 1821192089 | Jessica S Racusin | Emergency Medicine | 115 Porter Dr, Porter Hospital, Middlebury, VT 05753 | 2006-09-11 |
| 1548364730 | Thomas W Yurista | Emergency Medicine | 115 Porter Dr, Porter Hospital, Middlebury, VT 05753 | 2006-09-11 |
| 1982708178 | Geoffrey R Knisely | Emergency Medicine | 115 Porter Drive, Porter Hospital, Middlebury, VT 05753 | 2006-09-11 |
| 1295839454 | Michael J Kiernan | Emergency Medicine | 115 Porter Dr, Porter Hospital, Middlebury, VT 05753 | 2006-09-11 |
| 1184728461 | Fred W Kniffin | Emergency Medicine | 115 Porter Drive, Porter Hospital, Middlebury, VT 05753 | 2006-09-08 |
| Find all providers in MIDDLEBURY | ||||
| City | MIDDLEBURY |
| Zip Code | 46540 |
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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.