JEREMY DEAN BERGER (NPI# 1154558682) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154558682 |
| Entity Type | Individual |
| Full Name | JEREMY DEAN BERGER |
| Credential | MD |
| Practice Address |
1230 E Main St Mankato MN 56001-5066 |
| Practice Telephone | 5076251811 |
| Mailing Telephone | 5076251811 |
| Enumeration Date | 2009-06-11 |
| Last Update Date | 2020-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 57694 | MN | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 2009 | MO | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518181338 | Jeremy C. Berger | Physical Therapist | 1299 Beneva Rd, Sarasota, FL 34232-3152 | 2007-04-12 |
| 1710334644 | Jeremy Scott Berger | Dentist | 623 S Sibley Ave, Litchfield, MN 55355-3339 | 2016-05-20 |
| 1386005718 | Jeremy Berger | General Practice | 1090 Arnold Dr, Little Rock Afb, AR 72099-4933 | 2016-03-12 |
| 1649672585 | Jeremy J Berger | Physician Assistant | 1978 Crompond Rd, Cortlandt Manor, NY 10567-4111 | 2014-09-23 |
| 1073865028 | Jeremy Berger | Case Manager/Care Coordinator | 4929 W Fond Du Lac Ave, Milwaukee, WI 53216-2324 | 2012-10-15 |
| Street Address |
1230 E MAIN ST |
| City | MANKATO |
| State | MN |
| Zip Code | 56001-5066 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154325173 | Kimberly A Aho | Psychiatry & Neurology | 1230 E Main St, Mankato, MN 56001-5066 | 2005-06-08 |
| 1699381418 | Emily Anna Potter | Nurse Practitioner | 1230 E Main St, Mankato, MN 56001-5066 | 2020-09-17 |
| 1699233965 | Zachary Joel Stevens | Physician Assistant | 1230 E Main St, Mankato, MN 56001-5066 | 2019-03-06 |
| 1033674288 | Season Marie Hoffman | Nurse Practitioner | 1230 E Main St, Mankato, MN 56001-8001 | 2019-02-01 |
| 1912471665 | Abby Jo Tibodeau | Dietitian, Registered | 1230 E Main St, Mankato, MN 56001-5066 | 2019-01-16 |
| 1154800886 | Travis Mattson | Physical Therapist | 1230 E Main St, Mankato, MN 56001-8001 | 2018-08-13 |
| 1801383955 | Nathan Evers | Pharmacist | 1230 E Main St, Mankato, MN 56001-5066 | 2018-04-15 |
| 1942704945 | Jennifer Sue Marble | Registered Nurse | 1230 E Main St, Mankato, MN 56001 | 2018-03-23 |
| 1669976742 | Brooke Renee Long | Registered Nurse | 1230 E Main St, Mankato, MN 56001 | 2018-03-22 |
| 1245740463 | Galen Mary Hilgendorf | Physician Assistant | 1230 E Main St, Mankato, MN 56001-5066 | 2017-10-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154935435 | Kelly Nicole Ricke | Physical Medicine & Rehabilitation | 1 Civic Center Plaza, Hockey Office Complex, Mankato, MN 56001 | 2020-09-03 |
| 1649816786 | Ashley Lynn Walters | Technician, Other | 501 Madison Ave., Mankato, MN 56001 | 2019-11-25 |
| 1720631716 | Dovetail Traslation LLC | Interpreter | 212 Dublin Ct, Same As Above, Mankato, MN 56001 | 2019-07-19 |
| 1093377871 | Lindsey Keithahn | Counselor | 2100 Bassett Drive, Mankato, MN 56001 | 2019-07-02 |
| 1255803813 | Amy Marie Williams | Acupuncturist | 709 S. Front Street, Suite 5, Mankato, MN 56001 | 2018-12-20 |
| 1518437573 | Ashley Blanchard | Acupuncturist | Vida Salon Suites 1351 Madison Avenue, Suite F/ Suite 206, Mankato, MN 56001 | 2018-12-03 |
| 1831687235 | Christian Goetz | Specialist/Technologist | 401-477 South Rd, Mankato, MN 56001 | 2018-05-01 |
| 1366949141 | Minnesota State College and Universities | Specialist/Technologist | 135 Myers Field House, Mankato, MN 56001 | 2018-04-09 |
| 1780191775 | Kevin David Nelson | Pharmacist | 111 Redtail Ct Apt 308, Mankato, MN 56001 | 2017-12-29 |
| 1972014231 | Rylee Wagner | Speech-Language Pathologist | Mankato Clinic Pediatric Therapy Services, 150 St. Andrews Court, Suite 310, Mankato, MN 56001 | 2017-10-13 |
| Find all providers in zip 56001 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487827952 | Francois Hamze | Surgery | 79 Navaho Ave, Suite 11, Mankato, MN 56001-4831 | 2008-04-07 |
| 1497825327 | Rachel Heather Jones | Surgery | 413 Diamond Creek Rd, Mankato, MN 56001 | 2006-11-08 |
| 1053756221 | Bradley Deleu | Surgery | 1025 Marsh St, Mankato, MN 56001 | 2013-05-01 |
| 1891920880 | Tara C.k. Krosch | Surgery | 1025 Marsh St, Mankato, MN 56001 | 2009-05-20 |
| 1619143005 | Megan Margaret Gilmore | Surgery | 1025 Marsh St, Mankato, MN 56001-4752 | 2008-05-05 |
| 1578610861 | William Scheidt | Surgery | 1809 Adams St, Mankato, MN 56001-4841 | 2007-01-05 |
| 1013008366 | Timothy W. Huisken | Surgery | 1230 E Main St, Mankato, MN 56001 | 2006-09-28 |
| 1679594469 | Gina M Risty | Surgery | 1025 Marsh St, Mankato, MN 56001-4752 | 2006-07-21 |
| 1295765451 | Stephen M Marchuk | Surgery | 1230 E. Main Street, Mankato, MN 55002-8674 | 2006-07-04 |
| 1851370779 | David J Orcutt | Surgery | 1230 E Main St, Mankato Clinic @ Main Street, Mankato, MN 56002-8674 | 2006-01-10 |
| Find all providers in MANKATO | ||||
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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.