DR. JOLENE KAY BERG (NPI# 1104858786) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104858786 |
| Entity Type | Individual |
| Full Name | DR. JOLENE KAY BERG |
| Credential | M.D. |
| Practice Address |
308 Dearborn Court Edina MN 55343-2000 |
| Practice Telephone | 6127188984 |
| Practice Fax Number | 2104263787 |
| Mailing Telephone | 6127188984 |
| Mailing Fax Number | 2104263787 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2018-11-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 26194 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 806479600 | 05 |
| Street Address |
308 DEARBORN COURT |
| City | EDINA |
| State | MN |
| Zip Code | 55343-2000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689230542 | Madison C Korus | Behavior Technician | 5501 Feltl Road, Minnetonka, MN 55343 | 2019-05-16 |
| 1942708508 | Teammd Physicians of Texas Inc | Case Manager/Care Coordinator | 9900 Bren Rd E # 8-b217, Minnetonka, MN 55343 | 2018-01-30 |
| 1659899284 | Midwest Medical Transit | Transportation Broker | 1001 Main Street #125, Hopkins, MN 55343 | 2017-09-04 |
| 1376070367 | Noor Translation and Interpretation Services LLC | Interpreter | 5620 Smetana Drive, Ste 300, Office D, Minnetonka, MN 55343 | 2017-05-22 |
| 1871043240 | Katherine Rae Skarphol | Speech-Language Pathologist | 5501 Feltl Rd, Hopkins, MN 55343 | 2016-10-10 |
| 1215481478 | Safi Care Transportation | Non-emergency Medical Transport (VAN) | 1001 Mainstreet, Ste 125, Hopkins, MN 55343 | 2016-08-05 |
| 1649723420 | Stephanie Stackhouse | Internal Medicine | 5520 Bristol Lane, Minnetonka, MN 55343 | 2016-07-28 |
| 1023479706 | Counter Point Recovery | Substance Abuse Rehabilitation Facility | 5022 Baker Rd, Minnetonka, MN 55343 | 2016-03-09 |
| 1851766356 | Enrique Mendoza Rojas | Nurse Practitioner | 9900 Ben Road East, Mail Route Mn 008-b213, Minnetonka, MN 55343 | 2015-12-09 |
| 1013307230 | Susanna Monroe | Nurse Practitioner | Unitedhealth Group Corporate Address, 9900 Bren Road East, Minnetonka, MN 55343 | 2015-01-26 |
| Find all providers in zip 55343 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568092732 | Scotland County Memorial Hospital | Family Medicine | 55682 State Highway 6, Edina, MO 63537-4267 | 2020-01-16 |
| 1396177499 | Stephen John Nelson | Family Medicine | 7404 Xerxes Ave S, Edina, MN 55423-3541 | 2013-07-31 |
| 1568609055 | Kenneth Verplank Hodges | Family Medicine | 7428 W Shore Dr, Edina, MN 55435-4022 | 2009-01-21 |
| 1730338419 | David Lawrence Rosenbaum | Family Medicine | 7200 York Ave. S., #220, Edina, MN 55435 | 2008-09-17 |
| 1033385588 | Ruth Sumana Potta | Family Medicine | 5016 Kent Ave, Edina, MN 55436-2430 | 2008-05-05 |
| 1013093004 | Staci Moser | Family Medicine | 7701 York Ave S Ste 300, Edina, MN 55435-5864 | 2006-10-31 |
| 1629033170 | Crispin J Webb | Family Medicine | 7373 France Ave S Ste 202, Edina, MN 55435-4551 | 2006-04-19 |
| 1265496095 | Louise G. Wright | Family Medicine | 5422 Creek View Ln, Edina, MN 55439-1310 | 2006-04-17 |
| 1679540249 | John Lee Canfield | Family Medicine | 7250 France Avenue, Suite 410, Edina, MN 55435 | 2006-03-02 |
| 1568439131 | Stephanie Leigh Anderson | Family Medicine | 7600 France Ave S Ste 4100, Edina, MN 55435-5924 | 2006-03-02 |
| Find all providers in EDINA | ||||
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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.