SALLY M BERRYMAN (NPI# 1124192141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124192141 |
| Entity Type | Individual |
| Full Name | SALLY M BERRYMAN |
| Credential | MD |
| Practice Address |
1600 N Grand Ave Suite 400 Pueblo CO 81003-2700 |
| Practice Telephone | 7195434000 |
| Practice Fax Number | 7195431041 |
| Mailing Telephone | 7195434000 |
| Mailing Fax Number | 7195431041 |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
28181 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 77306732 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306877790 | Sally Berryman | Internal Medicine | 1020 Bandana Blvd W, Saint Paul, MN 55108-5107 | 2006-07-05 |
| Street Address |
1600 N GRAND AVE SUITE 400 |
| City | PUEBLO |
| State | CO |
| Zip Code | 81003-2700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457354763 | Hisman H Percival | Surgery | 1600 N Grand Ave, Suite 430, Pueblo, CO 81003-2700 | 2005-05-31 |
| 1710365416 | Paladina Health, LLC | Family Medicine | 1600 N Grand Ave, Suite 540, Pueblo, CO 81003-2700 | 2015-05-13 |
| 1407249188 | Christopher Traut | Neurological Surgery | 1600 N Grand Ave, Suite 508, Pueblo, CO 81003-2700 | 2015-03-05 |
| 1124423116 | Kati Jo Foechterle | Nurse Practitioner | 1600 N Grand Ave, Suite 140, Pueblo, CO 81003-2700 | 2014-11-03 |
| 1326469248 | Micah Johnson | Physician Assistant | 1600 N Grand Ave, Suite 508, Pueblo, CO 81003-2700 | 2013-12-19 |
| 1720364177 | Anesthesia Management Services, LLC | Nurse Anesthetist, Certified Registered | 1600 N Grand Ave, Suite 420, Pueblo, CO 81003-2700 | 2011-10-31 |
| 1326366105 | Rachel Christine Niemet | Obstetrics & Gynecology | 1600 N Grand Ave, Ste 400, Pueblo, CO 81003-2700 | 2010-05-04 |
| 1306081237 | Neil A Banga | Surgery | 1600 N Grand Ave, Suite 430, Pueblo, CO 81003-2700 | 2008-12-05 |
| 1174770614 | Henrique Jose Fernandez | Internal Medicine | 1600 N Grand Ave, Suite 150, Pueblo, CO 81003-2749 | 2008-08-27 |
| 1831353705 | Marcel Jabour Junqueira | Internal Medicine | 1600 N Grand Ave, Suite 140, Pueblo, CO 81003-2700 | 2008-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164042016 | Sunil Kumar | Student in an Organized Health Care Education/Training Program | Parkview Adult Medicine Clinic, 311 West 14th Street, Pueblo, CO 81003 | 2020-04-21 |
| 1497382303 | Pueblo Family Dentistry Pllc | Dentist | 701 N Grand Avenue, Suite B, Pueblo, CO 81003 | 2020-03-23 |
| 1023654241 | Elmer A. Villalon, Dmd, LLC | Clinic/Center | 1225 North Main Street, #207, Pueblo, CO 81003 | 2019-11-22 |
| 1518434349 | Mariam Rahim | Internal Medicine | Parkview Adult Medicine Clinic, 311 West 14th Street, Pueblo, CO 81003 | 2018-10-30 |
| 1003308222 | Julia Mcneice | Internal Medicine | Parkview Medial Center, Parkveiw Adult Medicine Clinic, 311 West 14th Street, Pueblo, CO 81003 | 2018-06-04 |
| 1689164857 | Jessica Sels | Internal Medicine | Parkview Medical Center Adult Medicine Clinic, 311 W 14th St, Pueblo, CO 81003 | 2018-05-14 |
| 1700313459 | Allison Vigil | Occupational Therapist | 1600 W. 24th St, Pueblo, CO 81003 | 2017-05-12 |
| 1245682020 | Paul S Bongat | Internal Medicine | 411 W. 14th St., Parkview Adult Medicine Clinic, Pueblo, CO 81003 | 2016-07-06 |
| 1013368596 | Daniel R Long | Internal Medicine | 411 West 14th Street, Pueblo, CO 81003 | 2016-06-27 |
| 1396195665 | Parkview Medical Center | General Acute Care Hospital | 411 W. 14th St, Pueblo, CO 81003 | 2016-06-17 |
| Find all providers in zip 81003 | ||||
| Taxonomy Code | 207VX0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Obstetrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154967636 | Planned Parenthood of The Rocky Mountains | Obstetrics & Gynecology | 7735 Wadsworth Blvd Unit D, Arvada, CO 80003-2131 | 2019-11-20 |
| 1275756561 | Reproductive Genetics Center P.C. | Obstetrics & Gynecology | 455 S Hudson St, Level IIi, Denver, CO 80246-1479 | 2007-04-11 |
| 1124172564 | William E Dwelley | Obstetrics & Gynecology | 21225 Uncompahgre Rd., Montrose, CO 81401-8754 | 2007-01-23 |
| 1295705333 | Mcarthur O Hill | Obstetrics & Gynecology | 8550 W 38th Ave Ste 303, Wheat Ridge, CO 80033-4355 | 2006-01-23 |
| 1003429903 | Scl Health Medical Group - Grand Junction, LLC | Obstetrics & Gynecology | 610 25 Rd, Grand Junction, CO 81505-1202 | 2020-08-28 |
| 1881230209 | Planned Parenthood of The Rocky Mountains | Obstetrics & Gynecology | 921 E 14th Ave, Denver, CO 80218-1903 | 2019-11-20 |
| 1437512811 | Adelaide Violet Packard | Obstetrics & Gynecology | 2352 Meadows Blvd Ste 120, Castle Rock, CO 80109-8414 | 2016-04-01 |
| 1427441229 | Sara Robison | Obstetrics & Gynecology | 6285 Lehman Dr, Colorado Springs, CO 80918 | 2015-03-18 |
| 1922401975 | Colorado Ob/gyn Partners 2, LLC | Obstetrics & Gynecology | 9195 Grant St, Suite 410, Thornton, CO 80229-4385 | 2014-10-06 |
| 1437595840 | Lindsay Brubaker | Obstetrics & Gynecology | 1635 Aurora Ct Fl 3, Aurora, CO 80045-2541 | 2013-05-13 |
| Find all providers with the same taxonomy | ||||
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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.