DR. JENNIFER ERIN BERKOWSKI (NPI# 1083935571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083935571 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER ERIN BERKOWSKI |
| Credential | M.D. |
| Practice Address |
1500 E. Medical Center Dr. 8th Floor C.s. Mott Children's Hospital Ann Arbor MI 48109-4254 |
| Mailing Address |
3621 South State Street 700 Kms Place Ann Arbor MI 48108 |
| Practice Telephone | 7347634109 |
| Mailing Telephone | (734) 936-2047 |
| Enumeration Date | 2010-06-18 |
| Last Update Date | 2017-09-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 4301096055 | MI | Allopathic & Osteopathic Physicians |
| Y | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
4301096055 | MI | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | 4301096055 | MI | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 4301096055 | MI | Student, Health Care |
| Street Address |
1500 E. MEDICAL CENTER DR. 8TH FLOOR C.S. MOTT CHILDREN'S HOSPITAL |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48109-4254 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891845855 | Lynn Romaine Glazewski | Dietitian, Registered | 1500 E. Medical Center Dr., 2a237-uh, Box 0056, Ann Arbor, MI 48109-0056 | 2007-01-11 |
| 1295351773 | Chelsea Angel | Student in an Organized Health Care Education/Training Program | 1500 E. Medical Center Dr., 1h247, Ann Arbor, MI 48109 | 2020-06-22 |
| 1366068835 | Jace Burton | Student in an Organized Health Care Education/Training Program | 1500 E. Medical Center Dr., 1h247, Ann Arbor, MI 48109 | 2020-06-22 |
| 1225654791 | Andrew Benner | Student in an Organized Health Care Education/Training Program | 1500 E. Medical Center Dr., 1h247, Ann Arbor, MI 48109 | 2020-06-22 |
| 1932725405 | Michelle Basilious | Student in an Organized Health Care Education/Training Program | 1500 E. Medical Center Dr., 1h247, Ann Arbor, MI 48109 | 2020-06-22 |
| 1306462940 | Colleen Mismas-hooley | Student in an Organized Health Care Education/Training Program | 1500 E. Medical Center Dr., 1h247, Ann Arbor, MI 48109 | 2020-06-19 |
| 1760008379 | Robert Rotondo | Student in an Organized Health Care Education/Training Program | 1500 E. Medical Center Dr., 1h247, Ann Arbor, MI 48109 | 2020-06-19 |
| 1932725546 | Anders Quigg | Student in an Organized Health Care Education/Training Program | 1500 E. Medical Center Dr., 1h247, Ann Arbor, MI 48109 | 2020-06-19 |
| 1679199202 | Julia Ocampo | Student in an Organized Health Care Education/Training Program | 1500 E. Medical Center Dr., 1h247, Ann Arbor, MI 48109 | 2020-06-19 |
| 1265058812 | Tyler Kleaveland | Student in an Organized Health Care Education/Training Program | 1500 E. Medical Center Dr., 1h247, Ann Arbor, MI 48109 | 2020-06-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558987024 | Albert Byun | Student in an Organized Health Care Education/Training Program | 1500 E.medical Center Dr., 1h247, Ann Arbor, MI 48109 | 2020-06-22 |
| 1851914931 | Nadine Ibrahim | Student in an Organized Health Care Education/Training Program | 1500 E. Medical Center Drive, Spc 5312, Taubman Center, 1st Floor, Room 1903, Ann Arbor, MI 48109 | 2020-05-22 |
| 1568083350 | Tucker Zimmer | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Dr, Uh South F-6245, Ann Arbor, MI 48109 | 2020-05-03 |
| 1144841099 | Jessica Moore Meves | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Drive, Uh South F-6245, Ann Arbor, MI 48109 | 2020-05-01 |
| 1710522297 | Xiaoyuan Hu | Specialist/Technologist | Obl 2150, 1402 Washington Hts, Ann Arbor, MI 48109 | 2019-11-08 |
| 1376192401 | Regina Kay Freeman | Clinical Nurse Specialist | 4726 Cardiovascular Center, 1500 E Medical Center Dr, Ann Arbor, MI 48109 | 2019-09-11 |
| 1477114155 | William Philip Saunders IIi | Student in an Organized Health Care Education/Training Program | 300 N Ingalls Building, Rm Ni4co6, Ann Arbor, MI 48109 | 2019-06-24 |
| 1093290447 | Teresa H Lyden | Speech-Language Pathologist | 1500 E. Medical Center Dr., Spc 5312, 1904 Tc, Otolaryngology-head and Neck Surgery, Ann Arbor, MI 48109 | 2018-10-02 |
| 1649755091 | Anna Grace Hardenbergh | Speech-Language Pathologist | 1500 E. Medical Center Drive Tc 1904, Otolaryngology Head and Neck Surgery, Ann Arbor, MI 48109 | 2018-10-02 |
| 1548754609 | Amy Wu | Pediatrics | 1500 East Medical Center Drive., Medical Professional Bldg. D-3238, Ann Arbor, MI 48109 | 2018-06-21 |
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| Taxonomy Code | 2080P0203X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Critical Care Medicine |
| A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407335144 | A2 Pediatrics Pllc | Pediatrics | 171 Rockwood Ct, Ann Arbor, MI 48103-8817 | 2018-08-13 |
| 1629503172 | Erica Jordan Rider | Pediatrics | 1500 E. Medical Center Drive F6790 Uh South, Ann Arbor, MI 48109-5243 | 2017-04-21 |
| 1700248838 | Lauren Margaret Zager | Pediatrics | 1540 E Hospital Dr, Ann Arbor, MI 48109-4000 | 2016-03-28 |
| 1710273719 | Michael Lee Stern | Pediatrics | 1500 East Medical Center Dr, 4th Floor Cs Mott Childrens Hospital, Ann Arbor, MI 48109-4217 | 2011-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871786368 | Patrick Hines | Pediatrics | 3901 Beaubien 4th Floor Carl's Bldg, Children's Hospital of Mi, Detroit, MI 48201 | 2007-08-20 |
| 1376612515 | Oximetry Co LLC | Pediatrics | 15760 19 Mile Rd, Ste F, Clinton Township, MI 48038-6319 | 2006-11-06 |
| 1235593112 | Chadd Allen Mays | Pediatrics | 100 Michigan St Ne # Mc13, Grand Rapids, MI 49503-2560 | 2016-04-07 |
| 1316323025 | Yomayra Perez Morel | Pediatrics | 100 Michigan St Ne, Grand Rapids, MI 49503 | 2015-08-04 |
| 1861811192 | Amarilis Andrea Martin | Pediatrics | 3901 Beaubien St., Detroit, MI 48201 | 2014-04-15 |
| 1639486228 | Rekha Solomon | Pediatrics | 3901 Beaubien St, Dmc Childrens Hospital of Michigan, Detroit, MI 48201-2119 | 2010-09-03 |
| 1003121971 | Keshava Murthy Narayana Gowda | Pediatrics | 3901 Beaubien St, Detroit, MI 48201-2119 | 2010-08-16 |
| 1255645560 | Gwendolen Nicole Sinclair | Pediatrics | 1447 N Harrison St, Saginaw, MI 48602-4727 | 2010-07-28 |
| 1336378355 | Suwannee Phumeetham | Pediatrics | 4201 Saint Antoine St, Detroit, MI 48201-2153 | 2009-07-12 |
| 1962630699 | Hitesh Singh Sandhu | Pediatrics | 3901 Beaubien St, Detroit, MI 48201-2119 | 2009-07-01 |
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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.