ELIZABETH BERGAMINI (NPI# 1154740629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154740629 |
| Entity Type | Individual |
| Full Name | ELIZABETH BERGAMINI |
| Practice Address |
1511 Ploma Dr Manchester MO 63021-7048 |
| Practice Telephone | 3143048298 |
| Mailing Telephone | 3143048298 |
| Enumeration Date | 2014-04-14 |
| Last Update Date | 2018-01-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 2017010207 | MO | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1511 PLOMA DR |
| City | MANCHESTER |
| State | MO |
| Zip Code | 63021-7048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972121176 | Elise Marie Webster | Dietitian, Registered | 822 Posthorn Dr., Manchester, MO 63021 | 2020-07-14 |
| 1386164713 | Our Care LLC | Internal Medicine | 1742 Carman Ridge Ct, Ballwin, MO 63021 | 2017-06-27 |
| 1134675788 | Summit Home Healthcarre, LLC | Home Health | 11511 Manchester Road, Ellisville, MO 63021 | 2016-09-01 |
| 1730530114 | Windalee Cowell-mccavron | Speech-Language Pathologist | 332 Old State Rd, Ellisville, MO 63021 | 2016-06-27 |
| 1013386598 | 16111 Manchester Road, L.L.C. | Dentist | 428 Old State Rd., Ellisville, MO 63021 | 2015-09-15 |
| 1609285816 | Daniel Rackovan | Specialist/Technologist | 13537 Barret Pkwy Dr, 105, Ballwin, MO 63021 | 2014-08-13 |
| 1952651341 | Faisal Alasmari | General Acute Care Hospital | 13928 Reflection Drive, Reflection Cove Apartments, Apt#235, Ballwin, MO 63021 | 2012-09-13 |
| 1831444694 | Manuel A. Ventus | General Practice | 651 Kerryton Pl. Circle, Balwin, MD 63021 | 2012-07-18 |
| 1073879052 | Delois Ann Hurst | Podiatrist | 1393 Big Bend Rd, Ballwin, MO 63021 | 2012-04-04 |
| 1841566445 | Elizabeth Riedel | Home Health | 13610 Barrett Office Drive, Manchester, MO 63021 | 2012-03-28 |
| Find all providers in zip 63021 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386652576 | Frank Joseph Bush | Pediatrics | 27 Hilliard St, Manchester, CT 06042-3001 | 2006-08-03 |
| 1336177633 | Glenn Koehler | Pediatrics | 192 Main St, Manchester, CT 06042-3581 | 2006-06-28 |
| 1104894708 | Mahendra Singh Panesar | Pediatrics | Pediatric Health Associates, 275 Mammoth Road, Suite 1, Manchester, NH 03109 | 2006-03-09 |
| 1861483489 | Elliot Physicians Network | Pediatrics | 275 Mammoth Rd Ste 1, Pediatric Health Associates, Manchester, NH 03109-4133 | 2005-11-02 |
| 1487644829 | Donald E. Salvatore | Pediatrics | 275 Mammoth Road, Suite 2, Manchester, NH 03109 | 2005-10-26 |
| 1912997396 | Elliot Physicians Network | Pediatrics | 275 Mammoth Rd Ste 2, Doctors Park Pediatrics, Manchester, NH 03109-4133 | 2005-10-26 |
| 1629061965 | Swathanthra Kumar Melekote | Pediatrics | 130 Hartford Rd, Manchester, CT 06040-5921 | 2005-08-23 |
| 1639684293 | Brooke Leary | Pediatrics | 1 Elliot Way, Manchester, NH 03103-3502 | 2017-12-05 |
| 1881058923 | Katherine E Wentworth | Pediatrics | 1 Elliot Way, Manchester, NH 03103-3502 | 2016-04-05 |
| 1780065391 | Ashtin Danielle Nix | Pediatrics | 56 Marie Langdon Dr, Manchester, KY 40962-6329 | 2015-06-10 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 63021 |
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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.