EBENEZER BERKO (NPI# 1154366508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154366508 |
| Entity Type | Individual |
| Full Name | EBENEZER BERKO |
| Credential | M.D. |
| Practice Address |
3330 Masonic Dr Alexandria LA 71301-3841 |
| Practice Telephone | 3184486917 |
| Practice Fax Number | 3184486866 |
| Mailing Telephone | 3184486917 |
| Mailing Fax Number | 3184486866 |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2011-06-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
MD.204538 | LA | Allopathic & Osteopathic Physicians |
| N | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
036104008 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
3330 MASONIC DR |
| City | ALEXANDRIA |
| State | LA |
| Zip Code | 71301-3841 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548252760 | Linda M Paul | Nurse Practitioner | 3330 Masonic Dr, Alexandria, LA 71301-3841 | 2005-08-16 |
| 1457981292 | Elyse Leigh Poole | Nurse Practitioner | 3330 Masonic Dr, Alexandria, LA 71301-3841 | 2020-01-21 |
| 1457991671 | Courtney Price Mansour | Nurse Practitioner | 3330 Masonic Dr, Alexandria, LA 71301-3841 | 2020-01-15 |
| 1396382560 | Wilbur Eric Sharp | Nurse Practitioner | 3330 Masonic Dr, Alexandria, LA 71301-3841 | 2019-12-05 |
| 1225674427 | Hospitalist Medicine Physicians of Louisiana - Shreveport, Inc. | Internal Medicine | 3330 Masonic Dr, Alexandria, LA 71301-3841 | 2019-11-22 |
| 1699317321 | Jacintha Nnadi | Registered Nurse | 3330 Masonic Dr, Alexandria, LA 71301-3841 | 2019-10-15 |
| 1548810617 | Catherine Cunningham Faucheaux | Counselor | 3330 Masonic Dr, Alexandria, LA 71301-3841 | 2019-09-19 |
| 1366091829 | Ashley Brazzell | Registered Nurse | 3330 Masonic Dr, Alexandria, LA 71301-3841 | 2019-09-08 |
| 1972158152 | Allison J Edwards | Nurse Practitioner | 3330 Masonic Dr, Alexandria, LA 71301-3841 | 2019-08-05 |
| 1548812829 | Jennifer Marie Murphy | Nurse Practitioner | 3330 Masonic Dr, Alexandria, LA 71301-3841 | 2019-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689217457 | Geaux Trans Transportation | Non-emergency Medical Transport (VAN) | 3101 Quail Court Apt A, Alexanadria, LA 71301 | 2019-10-23 |
| 1679115497 | Emily Belgard | Case Manager/Care Coordinator | 1715 Ashley Avenue, Suite A, Alexandria, LA 71301 | 2019-10-14 |
| 1316591878 | Leronisha Murphey | Technician | 1300 Jackson Street, Alexandria, LA 71301 | 2019-08-01 |
| 1144782996 | Ashley Billings | Student in an Organized Health Care Education/Training Program | 403 E 3rd Street Ste 3h, Family Medicine, Alexandria, LA 71301 | 2019-04-02 |
| 1740753110 | Maranda Trotti Voorhies | Nurse Practitioner | 501 Medical Center Dr. Suite 200, Alexandria, LA 71301 | 2019-01-08 |
| 1326565359 | Sheryl Ann Truman | Registered Nurse | 3224 Madonna Drive, Alexandria, LA 71301 | 2017-08-30 |
| 1770001620 | Casey Holts | Counselor | 5760 Goodland Trace, Alexandria, LA 71301 | 2017-08-30 |
| 1942735956 | Transforming Lives, Inc. | Community/Behavioral Health | 1428 Peterman Dr Ste A, Alexandria, LA 71301 | 2017-04-27 |
| 1790216703 | Johnnetta Rutledge | Counselor | 39 Kent Ave, Alexandria, LA 71301 | 2017-03-22 |
| 1104367788 | Clarissa Dione Pugh | Counselor | 23 Tennessee Ave, Alexandria, LA 71301 | 2017-03-15 |
| Find all providers in zip 71301 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528326329 | Rahul Singh | Internal Medicine | 8101 Hinson Farm Rd Ste 211, Alexandria, VA 22306 | 2012-04-30 |
| 1821363219 | Oliver Alabaster | Internal Medicine | 4318 Adrienne Dr, Alexandria, VA 22309-2803 | 2012-03-19 |
| 1518092766 | Arjun Sood | Internal Medicine | 3543 W Braddock Rd Ste 400e, Alexandria, VA 22302-1900 | 2007-02-21 |
| 1942223144 | Dennis A Dobrzynski | Internal Medicine | 5226 Dawes Avenue, Alexandria, VA 22311 | 2006-07-26 |
| 1982672937 | Ivan Aksentijevich | Internal Medicine | 4660 Kenmore Ave Ste 1018, Alexandria, VA 22304-1306 | 2006-03-08 |
| 1730162967 | Mehrdad Ebadi-tehrani | Internal Medicine | 5226 Dawes Ave, Alexandria, VA 22311-1404 | 2005-11-22 |
| 1285637314 | Bassam Abi-rached | Internal Medicine | 605b Medical Center Dr, Alexandria, LA 71301-8127 | 2005-05-23 |
| 1134389802 | Alina Huang | Internal Medicine | 4660 Kenmore Ave Ste 1018, Alexandria, VA 22304-1306 | 2008-06-16 |
| 1902088040 | Christus Health Central Louisiana | Internal Medicine | 3330 Masonic Dr, Alexandria, LA 71301-3841 | 2007-11-30 |
| 1114129574 | Hematology Oncology Assoc Ltd | Internal Medicine | 5226 Dawes Avenue, Alexandria, VA 22311 | 2007-06-05 |
| Find all providers in ALEXANDRIA | ||||
| City | ALEXANDRIA |
| Zip Code | 71301 |
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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.