NATHAN BERGER (NPI# 1083990642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083990642 |
| Entity Type | Individual |
| Full Name | NATHAN BERGER |
| Practice Address |
2920 White Bear Ave N Maplewood MN 55109-1304 |
| Mailing Address |
2431 Standridge Ave Maplewood MN 55109-1648 |
| Practice Telephone | 6517700476 |
| Mailing Telephone | 6517700476 |
| Enumeration Date | 2011-10-27 |
| Last Update Date | 2011-10-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
113423 | MN | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639148851 | Nathan G Berger | Obstetrics & Gynecology | 200 E 33rd St Ste 486, Baltimore, MD 21218-3322 | 2006-03-17 |
| 1962503458 | Nathan Berger | Emergency Medicine | 800 Zorn Avenue, Vamc Dept. of Emergency Medicine, Louisville, KY 40206 | 2006-09-26 |
| 1760401665 | Nathan A Berger | Internal Medicine | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2006-07-19 |
| Street Address |
2920 WHITE BEAR AVE N |
| City | MAPLEWOOD |
| State | MN |
| Zip Code | 55109-1304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457533143 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2920 White Bear Ave N, Maplewood, MN 55109 | 2007-12-04 |
| 1770195109 | Jennifer Arnold | Pharmacist | 2920 White Bear Ave N, Maplewood, MN 55109-1304 | 2020-08-18 |
| 1487265047 | Grant Douglas Syverson | Pharmacist | 2920 White Bear Ave N, Maplewood, MN 55109-1304 | 2020-08-16 |
| 1588937577 | Kofi Boadu-mensah | Pharmacist | 2920 White Bear Ave N, Maplewood, MN 55109-1304 | 2012-02-22 |
| 1255601027 | Mark Richard Millar | Pharmacist | 2920 White Bear Ave N, Maplewood, MN 55109-1304 | 2012-01-10 |
| 1144597170 | Ryan B Fuder | Pharmacist | 2920 White Bear Ave N, Maplewood, MN 55109-1304 | 2011-11-18 |
| 1396012571 | Cindy Burdeski | Pharmacist | 2920 White Bear Ave N, Maplewood, MN 55109-1304 | 2011-11-16 |
| 1619253911 | Lia Xiong | Pharmacy Technician | 2920 White Bear Ave N, Maplewood, MN 55109-1304 | 2011-10-31 |
| 1710263249 | Fred Gordon Friedman | Pharmacist | 2920 White Bear Ave N, Maplewood, MN 55109-1304 | 2011-10-28 |
| 1124304837 | Minh Do | Pharmacist | 2920 White Bear Ave N, Maplewood, MN 55109-1304 | 2011-10-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366063828 | Jodi May Begordis | Registered Nurse | 2586 7th Ave East, Suite 302, North St Paul, MN 55109 | 2020-05-06 |
| 1467917146 | Alejandro Diez Freire | Social Worker | 2468 Germain St, Maplewood, MN 55109 | 2019-02-06 |
| 1679099667 | Rochelle Marie Clarke | Registered Nurse | 2586 7th Ave East Suite 302, North Saint Paul, MN 55109 | 2017-08-21 |
| 1497298210 | Salams Care Residential, LLC | Home Health | 2240 Ide Ct, Maplewood, MN 55109 | 2016-11-28 |
| 1093199630 | Garry Allen | Psychologist | 2345 Ariel St North Mail Stop 13601a, Maplewood, MN 55109 | 2015-07-14 |
| 1700264751 | Matthew Seng Thao | Student in an Organized Health Care Education/Training Program | 1470 Gervais Ave, Maplewood, MN 55109 | 2015-05-11 |
| 1326458340 | Chong Chang | Counselor | 1705 Cope Ave E Ste I, Maplewood, MN 55109 | 2014-04-29 |
| 1619396488 | Leah Anne Downey | Occupational Therapist | 2399 Ariel St. N., Children's Theraplay, LLC, Maplewood, MN 55109 | 2014-04-09 |
| 1356765440 | Group Health Plan, Inc | Clinic/Center | 2520 12th Ave E, North St Paul, MN 55109 | 2014-02-10 |
| 1336560275 | Veneman Dental Care, Pa | Dentist | 1774 Cope Ave, Suite 110, Maplewood, MN 55109 | 2013-12-19 |
| Find all providers in zip 55109 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922479062 | Shelby Setniker-eschiti | Pharmacist | 2172 German St, Maplewood, MN 55109-2853 | 2015-10-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417587205 | Pain Partners LLC | Pharmacist | 15225 Wild Wings Court, Minnetonka, MN 55345 | 2020-01-21 |
| 1174160832 | Susan Jacobson | Pharmacist | One Veterans Drive (119), Minneapolis, MN 55417 | 2019-12-02 |
| 1942789912 | Savannah Danielle Miller | Pharmacist | 323 S Minnesota Street, Crookston, MN 56716 | 2018-08-10 |
| 1548751654 | Dustin Adam Kakach | Pharmacist | 600 County Hwy 10, Blaine, MN 55434 | 2018-05-24 |
| 1831642214 | Jennifer Franke | Pharmacist | 24760 Hospital Rd., Red Lake, MN 56671 | 2016-08-02 |
| 1336530310 | Audrey Jean Twit | Pharmacist | 523 North Third Street, Essentia Health St Joseph's Medical Center, Brainerd, MN 56401 | 2015-02-11 |
| 1215349584 | Stephen Destefano | Pharmacist | 31419 131st Street, Princeton, MN 55371 | 2014-05-21 |
| 1104259795 | Megan Nimke | Pharmacist | 345 Smith Ave North Pharmacy Department, Children's Hospital & Clinics of Minnesota Pharmacy Dep, St. Paul, MN 55102 | 2013-08-19 |
| 1790033363 | Mary Sauer | Pharmacist | 5615 Xerxes Ave N Ste D, Brooklyn Center, MN 55430-2819 | 2012-08-29 |
| 1982989554 | Ole Olson | Pharmacist | 3444 Limerick Ln Ne, Rochester, MN 55906-8038 | 2011-10-14 |
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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.