ADAM BERGIN (NPI# 1538537378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538537378 |
| Entity Type | Individual |
| Full Name | ADAM BERGIN |
| Practice Address |
305 Memorial Medical Pkwy Suite 206 Daytona Beach FL 32117-5168 |
| Practice Telephone | 3863102366 |
| Enumeration Date | 2015-09-10 |
| Last Update Date | 2015-10-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA9108986 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
305 MEMORIAL MEDICAL PKWY SUITE 206 |
| City | DAYTONA BEACH |
| State | FL |
| Zip Code | 32117-5168 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306838545 | Christopher Allen Grove | Surgery | 305 Memorial Medical Pkwy, Suite 201, Daytona Beach, FL 32117-5168 | 2005-08-15 |
| 1366077158 | Tom Vansteenkiste | Physical Therapist | 305 Memorial Medical Pkwy, Daytona Beach, FL 32117-5168 | 2020-03-12 |
| 1104301985 | Erika Roach | Internal Medicine | 305 Memorial Medical Pkwy, Daytona Beach, FL 32117-5168 | 2018-09-27 |
| 1033635271 | Eric Lup-sing Lo M. D., P.a. | Internal Medicine | 305 Memorial Medical Pkwy, Daytona Beach, FL 32117-5168 | 2017-08-18 |
| 1366991812 | Melissa Renae Clegg | Nurse Practitioner | 305 Memorial Medical Pkwy, Suite 301, Daytona Beach, FL 32117-5168 | 2016-09-26 |
| 1508218454 | Sherida Ann Hahn | Nurse Practitioner | 305 Memorial Medical Pkwy, Suite 502, Daytona Beach, FL 32117-5168 | 2016-07-04 |
| 1174992648 | Jennifer Lynn Matey | Physician Assistant | 305 Memorial Medical Pkwy, Suite 501, Daytona Beach, FL 32117-5168 | 2015-09-15 |
| 1740559855 | Cardiology Physicians Memorial, LLC | Internal Medicine | 305 Memorial Medical Pkwy, Suite 301, Daytona Beach, FL 32117-5168 | 2011-12-19 |
| 1346527470 | M I Lopez Md, Pa | Clinic/Center | 305 Memorial Medical Pkwy, Suite 303, Daytona Beach, FL 32117-5168 | 2011-11-03 |
| 1659658771 | Maria Isabel Lopez, Md, Pa | Clinic/Center | 305 Memorial Medical Pkwy, Suite 303, Daytona Beach, FL 32117-5168 | 2011-11-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992350409 | Erin Selfridge | Pharmacist | 1500 Beville Rd #300, Daytona Beach, FL 32117 | 2019-08-02 |
| 1881185494 | Wellspring Health, LLC | Chiropractor | 701 Ridgewood Ave, Holly Hills, FL 32117 | 2018-05-21 |
| 1780172791 | L & L Db, LLC | Clinic/Center | 1540 Cornerstone Blvd, Suite 100, Daytona Beach, FL 32117 | 2018-04-25 |
| 1154837789 | Brittany Nikolow | Nurse Practitioner | 1717 N. Clyde Morris, Daytona Beach, FL 32117 | 2017-12-19 |
| 1205356946 | Alejandro Andre Pabon Rodriguez | Nurse Anesthetist, Certified Registered | Florida Hospital Memorial Medical Center, 301 Memorial Medical Parkway, Daytona Beach, FL 32117 | 2017-06-23 |
| 1316492135 | Ann Van Herck | Physical Therapist | 1901 Mason Ave Ste 105, Daytona Beach, FL 32117 | 2016-08-22 |
| 1952784779 | Kathryn Brenna Copley | Nurse Practitioner | 1890 Lpga Blvd., Daytona Beach, FL 32117 | 2015-06-30 |
| 1053719559 | Alicia Graham | Case Manager/Care Coordinator | 1570 Megan Bay Circle, Holly Hill, FL 32117 | 2014-12-15 |
| 1578974440 | Halifax Senior Care Inc | Clinic/Center | 1515 Ridgewood Ave, Suite B, Holly Hill, FL 32117 | 2014-05-14 |
| 1013345883 | Kist Alf, Inc | Assisted Living Facility | 1516 Carmen Avenue, Daytona Beach, FL 32117 | 2013-10-14 |
| Find all providers in zip 32117 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376161380 | Evolution Health & Performance LLC | Physician Assistant | 244 S. Palmetto Ave, Daytona Beach, FL 32114 | 2020-07-07 |
| 1013568856 | Priya Phiroze Desai | Physician Assistant | 301 Memorial Medical Pkwy Ste 307, Daytona Beach, FL 32117-5167 | 2019-09-23 |
| 1104297829 | Adrianne Newton | Physician Assistant | 303 S. Clyde Morris Blvd., Daytona Beach, FL 32114 | 2015-10-08 |
| 1841668068 | Colleen L Ursic | Physician Assistant | 655 N Clyde Morris Blvd Ste B, Daytona Beach, FL 32114-2321 | 2015-09-03 |
| 1225341191 | Kristin Wunker Nelson | Physician Assistant | 1890 Lpga Blvd Ste 250, Daytona Beach, FL 32117-7131 | 2010-07-21 |
| 1093924136 | Andrew George Giaconi | Physician Assistant | 1040 Mason Ave, Daytona Beach, FL 32117-4612 | 2007-05-22 |
| 1851506760 | Cindy R Parker | Physician Assistant | 1367 Beville Rd, Daytona Beach, FL 32119-1529 | 2007-05-14 |
| 1750323978 | David J Jones | Physician Assistant | 721 S Beach St Apt 214a, Daytona Beach, FL 32114-5404 | 2006-06-12 |
| 1073568747 | Anthony A. Azzarello | Physician Assistant | 303 No. Clyde Morris Blvd., Halifax Medical Center - Chest Pain Center, Daytona Beach, FL 32114-2709 | 2006-05-23 |
| 1336193044 | Kandace F Vagovic | Physician Assistant | 517 Health Blvd, Daytona Beach, FL 32114-1493 | 2006-05-19 |
| Find all providers in DAYTONA BEACH | ||||
| City | DAYTONA BEACH |
| Zip Code | 32117 |
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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.