DOUGLAS R BERSON (NPI# 1295849594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295849594 |
| Entity Type | Individual |
| Full Name | DOUGLAS R BERSON |
| Credential | M.D. |
| Practice Address |
224 S Woods Mill Rd Suite 270 South Chesterfield MO 63017-3451 |
| Practice Telephone | 3144695944 |
| Practice Fax Number | 3144539377 |
| Mailing Telephone | 3144695944 |
| Mailing Fax Number | 3144539377 |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207KA0200X |
Allergy & Immunology Specialization: Allergy |
R1G07 | MO | Allopathic & Osteopathic Physicians |
| N | 207KA0200X |
Allergy & Immunology Specialization: Allergy |
IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CIGNA HEALTHCARE | 1124116001 | 01 | |
| HEALTHCARE USA | 24698 | 01 | |
| UNITED HEALTHCARE | 0200049 | 01 | |
| GROUP HEALTH PLAN | 8635 | 01 | |
| IL | HEALTH ALLIANCE | 048551 | 01 |
| BLUE CROSS BLUE SHIELD | 24742 | 01 | |
| HEALTHLINK | 241220 | 01 |
| Street Address |
224 S WOODS MILL RD SUITE 270 SOUTH |
| City | CHESTERFIELD |
| State | MO |
| Zip Code | 63017-3451 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669465852 | Andrew M Rouse | Orthopaedic Surgery | 224 S Woods Mill Rd, Chesterfield, MO 63017-3497 | 2005-08-24 |
| 1447609326 | St. Luke's Episcopal Presbyterian Hospital | General Acute Care Hospital | 224 S Woods Mill Rd, Suite 360 South, Chesterfield, MO 63017-3513 | 2016-06-10 |
| 1811344328 | C Care LLC | Psychiatry & Neurology | 224 S Woods Mill Rd, Suite 550 South Tower, Chesterfield, MO 63017-3513 | 2016-05-16 |
| 1689033235 | Oasl 2 LLC | Specialist | 224 S Woods Mill Rd, Suite 750 South, Chesterfield, MO 63017-3513 | 2016-02-10 |
| 1194159012 | Precision Plastic Surgery, PC St. Lukes Office | Specialist | 224 S Woods Mill Rd, Suite 450 South, Chesterfield, MO 63017-3451 | 2013-08-27 |
| 1528307758 | Roger Lee Mell | Orthopaedic Surgery | 224 S Woods Mill Rd, Suite 255 South, Chesterfield, MO 63017-3491 | 2013-02-07 |
| 1265778138 | Medical Associates of Chesterfield, LLC | Internal Medicine | 224 S Woods Mill Rd, Ste 370s, Chesterfield, MO 63017-3513 | 2012-12-21 |
| 1366706509 | Archway Dermatology, LLC | Dermatology | 224 S Woods Mill Rd, Suite 570s, Chesterfield, MO 63017-3451 | 2012-07-03 |
| 1578824256 | Ron Javdan Md LLC | Internal Medicine | 224 S Woods Mill Rd, Suite 580, Chesterfield, MO 63017-3451 | 2012-05-30 |
| 1780823559 | Vikas Sethi | Nurse Practitioner | 224 S Woods Mill Rd, Suite # 435-s, Chesterfield, MO 63017-3451 | 2009-02-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114549193 | Kathryn E Bos | Student in an Organized Health Care Education/Training Program | 873 Apt N Foxsprings Dr, Chesterfield, MO 63017 | 2020-05-12 |
| 1700415171 | Charles H. Edwards | Physical Therapist | 224 South Woods Millrd., Suite 610 South, Chesterfield, MO 63017 | 2020-04-07 |
| 1003454562 | Stephanie Henningsen | Physical Therapy Assistant | 307 S Woods Rd, Chesterfield, MO 63017 | 2019-12-16 |
| 1831746296 | Star Lynn Sutton | Occupational Therapy Assistant | 15207 Olive Boulevard, Chesterfield, MO 63017 | 2019-08-21 |
| 1639738438 | Van Amburg & Busiek Md's, LLC | Pharmacy | 232 S Woodsmill Road, Suite 330 East, Chesterfield, MO 63017 | 2019-06-06 |
| 1306306865 | Margaret Mary Wynn | Nurse Practitioner | 15740 South Outer Road, Chesterfield, MO 63017 | 2019-03-21 |
| 1205393089 | Kimberly Danielle | Nurse Practitioner | 744 Forest Trace Dr, Chesterfield, MO 63017 | 2019-02-27 |
| 1457823965 | Allison Joy Mcgrail | Dietitian, Registered | 45740 S Outer Forty Rd, Chesterfield, MO 63017 | 2018-12-21 |
| 1316418080 | Julie Lefere | Social Worker | Mercy Virtual Care Center, 15740 S Outer 40 Rd, Chesterfield, MO 63017 | 2018-12-06 |
| 1336629641 | Catherine Dolphin Smith | Nurse Practitioner | 224 S Woods Mill Rd Ste 500, Chesterfield, MO 63017 | 2018-08-16 |
| Find all providers in zip 63017 | ||||
| Taxonomy Code | 207KA0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| Specialization | Allergy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033170949 | Gary Andrew Reinheimer | Allergy & Immunology | 30795 23 Mile Rd, Suite 209, Chesterfield, MI 48047-5720 | 2006-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891009361 | David L Straub, M.d.,p.c. | Allergy & Immunology | 706 W 26th St, Joplin, MO 64804-1918 | 2010-07-27 |
| 1033346267 | Allergy and Asthma Consultants of The Ozarks, Ltd | Allergy & Immunology | 407a E Russell Ave Ste 3, Warrensburg, MO 64093-1266 | 2009-06-15 |
| 1205063500 | Allergy and Asthma Consultants of The Ozarks, Ltd | Allergy & Immunology | 601 W Nifong Blvd Ste 2b, Columbia, MO 65203-6804 | 2009-06-15 |
| 1275714743 | St Louis Allergy Consultants Inc | Allergy & Immunology | 621 S New Ballas Rd Ste 368, Saint Louis, MO 63141-8232 | 2007-11-26 |
| 1033236948 | Physician Groups Lc | Allergy & Immunology | 301 West Washington Street, Suite 5, Farmington, MO 63640-1921 | 2007-03-23 |
| 1427189950 | Allergy and Asthma Consultants, PC | Allergy & Immunology | 711 Old Ballas Rd., Suite 100, St. Louis, MO 63141-7068 | 2007-03-08 |
| 1265599591 | Lawrence Paul Landwehr | Allergy & Immunology | 407 A. East Russell Avenue, Suite 3, Warrensburg, MO 64093 | 2007-01-03 |
| 1629132683 | Tipu Sultan | Allergy & Immunology | 11585 W Florissant Ave, Florissant, MO 63033-6740 | 2006-12-21 |
| 1376658534 | Allergy and Asthma Consultants of The Ozark,ltd | Allergy & Immunology | 1233 Jefferson St, Jefferson City, MO 65109-2469 | 2006-08-20 |
| 1407960776 | Michael Lewis Loren | Allergy & Immunology | 4963 Ne Goodview Cir, Suite A, Lees Summit, MO 64064-1998 | 2006-08-17 |
| Find all providers with the same taxonomy | ||||
| City | CHESTERFIELD |
| Zip Code | 63017 |
Please comment or provide details below to improve the information on DOUGLAS R BERSON.
| 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.