PAUL BERG III (NPI# 1194254888) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194254888 |
| Entity Type | Individual |
| Full Name | PAUL BERG III |
| Credential | CAA |
| Practice Address |
1775 W Hibiscus Blvd Ste 215 Melbourne FL 32901-2627 |
| Mailing Address |
7403 W Sunrise Blvd Apt A2 Plantation FL 33313-4437 |
| Practice Telephone | 3218373820 |
| Mailing Telephone | 9545512092 |
| Enumeration Date | 2017-06-07 |
| Last Update Date | 2017-06-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367H00000X | Anesthesiologist Assistant | 385 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740568070 | Paul K Berg | Specialist | 1312 Seacrest Dr, Corona Del Mar, CA 92625-1226 | 2011-08-03 |
| 1033294509 | Paul S. D. Berg | Psychologist | 400 29th St Ste 315, Oakland, CA 94609-3548 | 2006-10-25 |
| 1740377688 | Paul D Berg | Family Medicine | 4401 Campus Ridge Dr Ste 2100, Midland, MI 48640-6125 | 2006-10-10 |
| 1720066517 | Paul Eugene Berg | Dentist | 6519 Nicollet Ave S, #205, Richfield, MN 55423-1669 | 2006-01-03 |
| 1417037409 | Paul Andrew Berg | Family Medicine | 1507 Rivery Blvd, Georgetown, TX 78628-3058 | 2006-10-16 |
| 1699875757 | Paul Arthur Berg Jr. | Physical Therapist | 1400 1st St Ne, New Prague, MN 56071-2215 | 2006-09-25 |
| 1003870429 | Paul S. Berg | Internal Medicine | 2001 Marcus Ave, Suite N204, New Hyde Park, NY 11042-2061 | 2006-04-13 |
| Street Address |
1775 W HIBISCUS BLVD STE 215 |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32901-2627 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235365578 | Chad Phillip Berlin | Radiology | 1775 W Hibiscus Blvd Ste 215, Melbourne, FL 32901-2627 | 2009-06-01 |
| 1184239006 | Daniel Belnap | Anesthesiologist Assistant | 1775 W Hibiscus Blvd Ste 215, Melbourne, FL 32901-2627 | 2020-09-09 |
| 1912510124 | Shannia Fullerton | Anesthesiology | 1775 W Hibiscus Blvd Ste 215, Melbourne, FL 32901-2627 | 2020-08-26 |
| 1508414848 | James Crunkilton | Anesthesiologist Assistant | 1775 W Hibiscus Blvd Ste 215, Melbourne, FL 32901-2627 | 2019-08-29 |
| 1134608201 | Gregory Michael Hendershot | Anesthesiologist Assistant | 1775 W Hibiscus Blvd Ste 215, Melbourne, FL 32901-2627 | 2018-08-09 |
| 1093213688 | Elyse Huff | Nurse Practitioner | 1775 W Hibiscus Blvd Ste 215, Melbourne, FL 32901-2627 | 2018-01-29 |
| 1538670963 | Robert Franklin Hardy | Anesthesiologist Assistant | 1775 W Hibiscus Blvd Ste 215, Melbourne, FL 32901-2627 | 2017-10-12 |
| 1578082806 | Andrew Blanke | Anesthesiologist Assistant | 1775 W Hibiscus Blvd Ste 215, Melbourne, FL 32901-2627 | 2017-09-19 |
| 1932627064 | Erika Rae Ammerman | Anesthesiologist Assistant | 1775 W Hibiscus Blvd Ste 215, Melbourne, FL 32901-2627 | 2017-09-09 |
| 1700314119 | Trevor Aiden Mccarty | Nurse Anesthetist, Certified Registered | 1775 W Hibiscus Blvd Ste 215, Melbourne, FL 32901-2627 | 2017-05-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467062943 | George Pappas | Anesthesiologist Assistant | 1775 W. Hibiscus Blvd., Ste 215, Melbourne, FL 32901 | 2020-08-09 |
| 1124676820 | Abbi Dell Lee | Behavioral Analyst | 3251 Engineering St, Melbourne, FL 32901 | 2019-08-27 |
| 1750856878 | Jeffrey Michael Cavanagh | Behavior Technician | 3251 Engineering Street, Melbourne, FL 32901 | 2018-10-04 |
| 1740766021 | Amanda Miller | Behavior Technician | 1885 W Hibiscus Blvd, Melbourne, FL 32901 | 2018-07-19 |
| 1396244406 | Dragen II LLC | Urology | 129 W Hibiscus Blvd Ste D, Melbourne, FL 32901 | 2018-02-03 |
| 1225550692 | Cabrit Psychotherapy Services LLC | Marriage & Family Therapist | 100 Rialto Place, Suite 700, Melbourne, FL 32901 | 2017-07-07 |
| 1487188058 | Project Response, Inc. | Clinic/Center | 747 S. Apollo Boulevard, Melbourne, FL 32901 | 2017-04-20 |
| 1184174575 | Paulette Swanson | Physical Therapist | 611 East Sheridan Rd, Melbourne, FL 32901 | 2016-10-10 |
| 1841747839 | Nicholas Wilson | Social Worker | 3661 S. Babcock St., Melbourne, FL 32901 | 2016-09-07 |
| 1467804278 | Nickolas Hetherington | Occupational Therapist | 1900 S Harbor City Blvd Ste 108, Melbourne, FL 32901 | 2016-07-05 |
| Find all providers in zip 32901 | ||||
| Taxonomy Code | 367H00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Anesthesiologist Assistant |
| An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467062943 | George Pappas | Anesthesiologist Assistant | 1775 W. Hibiscus Blvd., Ste 215, Melbourne, FL 32901 | 2020-08-09 |
| 1528311172 | Krzysztof Cieslik | Anesthesiologist Assistant | 1304 Oak Street, Brevard Anesthesia Services, Melbourne, FL 32901 | 2012-10-19 |
| 1346855301 | Anushree Patel | Anesthesiologist Assistant | 1350 Hickory St, Melbourne, FL 32901-3224 | 2020-09-15 |
| 1184239006 | Daniel Belnap | Anesthesiologist Assistant | 1775 W Hibiscus Blvd Ste 215, Melbourne, FL 32901-2627 | 2020-09-09 |
| 1508414848 | James Crunkilton | Anesthesiologist Assistant | 1775 W Hibiscus Blvd Ste 215, Melbourne, FL 32901-2627 | 2019-08-29 |
| 1629637566 | Jessie Lee Mccoy | Anesthesiologist Assistant | 1775 W Hibiscus Blvd, Melbourne, FL 32901-2620 | 2019-06-12 |
| 1235618042 | Anna Joy Miller | Anesthesiologist Assistant | 1350 Hickory St, Melbourne, FL 32901-3224 | 2018-08-13 |
| 1134608201 | Gregory Michael Hendershot | Anesthesiologist Assistant | 1775 W Hibiscus Blvd Ste 215, Melbourne, FL 32901-2627 | 2018-08-09 |
| 1538670963 | Robert Franklin Hardy | Anesthesiologist Assistant | 1775 W Hibiscus Blvd Ste 215, Melbourne, FL 32901-2627 | 2017-10-12 |
| 1578082806 | Andrew Blanke | Anesthesiologist Assistant | 1775 W Hibiscus Blvd Ste 215, Melbourne, FL 32901-2627 | 2017-09-19 |
| Find all providers in MELBOURNE | ||||
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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.