MR. CARL STACEY BERG (NPI# 1063454114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063454114 |
| Entity Type | Individual |
| Full Name | MR. CARL STACEY BERG |
| Other Name | MR. CARL JEFFREY BERG |
| Credential | MASTER OF SCIENCE MS |
| Practice Address |
1867 Williams Hwy Suite 105 Grants Pass OR 97527-5854 |
| Practice Telephone | 5414744694 |
| Practice Fax Number | 5414749590 |
| Mailing Telephone | 5414744694 |
| Mailing Fax Number | 5414749590 |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2014-09-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | 20545 | OR | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 283606 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396876314 | Carl Jeffrey Berg | Audiologist | 1665 Williams Hwy, Grants Pass, OR 97527 | 2007-03-08 |
| 1659396398 | Carl Ronald Berg | Physician Assistant | 605 Old Austin Hwy, Bastrop, TX 78602 | 2006-07-13 |
| 1639167331 | Carl Berg | Psychologist | 10 Downing St, 1-j, New York, NY 10014-4734 | 2005-10-07 |
| 1144399767 | Carl L Berg | Internal Medicine | 40 Duke Medicine Cir, Durham, NC 27710-4000 | 2006-11-07 |
| Street Address |
1867 WILLIAMS HWY SUITE 105 |
| City | GRANTS PASS |
| State | OR |
| Zip Code | 97527-5854 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720332968 | Samuel Nolan Peterson | Audiologist | 1867 Williams Hwy, Ste. 105, Grants Pass, OR 97527-5854 | 2012-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528618600 | Sandra J Campos | Technician | 365 Sleepy Hollow Loop, Grants Pass, OR 97527 | 2019-09-19 |
| 1720501026 | Kelly Bates | Massage Therapist | 501 Cheney Creek Rd, Grants Pass, OR 97527 | 2017-07-19 |
| 1740650134 | Sara Brelsford | Nurse Practitioner | 1075 Sw Grandview Avenue, Suite 200, Grants Pass, OR 97527 | 2015-09-29 |
| 1962816348 | Kimberly Hathaway | Counselor | 320 Ramsey Place, Grants Pass, OR 97527 | 2014-06-13 |
| 1801216999 | Christina Ann Marie Schultz | Massage Therapist | 242 Curtis Drive, Grants Pass, OR 97527 | 2014-04-16 |
| 1013343359 | Shaunte Angelique Duron | Counselor | 711 Sw Ramsey Avenue, Grants Pass, OR 97527 | 2013-09-18 |
| 1063848547 | Megan Faye Armstrong | Behavioral Analyst | 715 Ramsey Aveenue, Grants Pass, OR 97527 | 2013-09-17 |
| 1124454608 | Mark Albert Cook | Behavioral Analyst | 1153 Sw Cal Allen Lane, Grants Pass, OR 97527 | 2013-09-17 |
| 1952741969 | Mitchell K Sheeler | Denturist | 1850 Williams Hwy, Grants Pass, OR 97527 | 2013-07-05 |
| 1790038339 | White City Vamc | Clinic/Center | 1877 Williams Highway, Grants Pass, OR 97527 | 2012-10-19 |
| Find all providers in zip 97527 | ||||
| Taxonomy Code | 231H00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. |
| Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396876314 | Carl Jeffrey Berg | Audiologist | 1665 Williams Hwy, Grants Pass, OR 97527 | 2007-03-08 |
| 1386261311 | Stephen Tyler Dougherty | Audiologist | 1665 Williams Hwy, Grants Pass, OR 97527-5699 | 2020-06-25 |
| 1760831697 | Cristin Dugan | Audiologist | 1665 Williams Hwy, Grants Pass, OR 97527 | 2016-06-10 |
| 1659763639 | Craig Berg | Audiologist | 1665 Williams Hwy, Grants Pass, OR 97527 | 2015-02-26 |
| 1720332968 | Samuel Nolan Peterson | Audiologist | 1867 Williams Hwy, Ste. 105, Grants Pass, OR 97527-5854 | 2012-11-08 |
| 1912111980 | Audiology Associates of Southern Oregon, Inc. | Audiologist | 1665 Williams Hwy, Grants Pass, OR 97527 | 2007-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083234710 | Kelly Mankin Anderson | Audiologist | 135 Nw 17th St, Bend, OR 97703-2420 | 2020-04-22 |
| 1629624945 | Lisa Ann Fratini | Audiologist | 3181 Sw Sam Jackson Park Rd Ste 250, Portland, OR 97239-3011 | 2019-08-13 |
| 1669039434 | Mathew Ray Lingmann | Audiologist | 15405 Sw 116th Ave Ste 200, King City, OR 97224-4105 | 2019-05-28 |
| 1548739097 | Danielle Garrido | Audiologist | 12724 Se Stark St Bldg H, Portland, OR 97233-1539 | 2018-11-14 |
| 1548745540 | Alyce Schott | Audiologist | 3181 Sw Sam Jackson Park Rd Ste 250.36, Portland, OR 97239-3098 | 2018-09-26 |
| 1518440080 | Lauren Marie Rynders | Audiologist | 919 Ne 19th Ave Ste 170, Portland, OR 97232-2210 | 2018-09-11 |
| 1053894626 | Oriana P Maldonado | Audiologist | 501 N Graham St Ste 320, Portland, OR 97227-2001 | 2018-09-10 |
| 1972084812 | Jamie Malynn Hubbard-parker | Audiologist | 3099 River Rd S # 120, Salem, OR 97302-9754 | 2018-08-28 |
| 1083195317 | Kimberly Michiko Nakayama | Audiologist | 2230 Nw Pettygrove St Ste 120, Portland, OR 97210-2659 | 2018-08-24 |
| 1851894604 | Sophia Bao Nguyen | Audiologist | 3857 Wolverine St Ne Ste 16c, Salem, OR 97305-4270 | 2018-03-16 |
| Find all providers with the same taxonomy | ||||
| City | GRANTS PASS |
| Zip Code | 97527 |
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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.