KENNETH C BERG (NPI# 1578981213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578981213 |
| Entity Type | Individual |
| Full Name | KENNETH C BERG |
| Credential | M.D. |
| Practice Address |
525 W River Woods Pkwy Ste 100 Glendale WI 53212-1010 |
| Practice Telephone | 4143326262 |
| Practice Fax Number | 4143320422 |
| Mailing Telephone | 4143326262 |
| Mailing Fax Number | 4143320422 |
| Enumeration Date | 2014-03-31 |
| Last Update Date | 2019-06-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 64556 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1578981213 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9200 W Wisconsin Ave, Milwaukee, WI 532263522 | 4148057433 | |
| W62n208 Washington Ave, Cedarburg, WI 530122763 | 2623767480 | 2623754700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669840518 | Kenneth Richard Berg | Dentist | 3550 Sw Bond Ave, Portland, OR 97239-4507 | 2015-09-09 |
| 1164704953 | Kenneth Aaron Berg | Emergency Medicine | 7500 State Rd, Cincinnati, OH 45255-2439 | 2011-09-16 |
| 1790869865 | Kenneth A. Berg | Psychiatry & Neurology | 99 Montecillo Rd, San Rafael, CA 94903-3308 | 2006-10-25 |
| 1699878223 | Kenneth E Berg | Social Worker | 1000 N Oak Ave, Marshfield, WI 54449 | 2006-09-07 |
| Street Address |
525 W RIVER WOODS PKWY STE 100 |
| City | GLENDALE |
| State | WI |
| Zip Code | 53212-1010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336143353 | Rory R Wright | Orthopaedic Surgery | 525 W River Woods Pkwy Ste 100, Glendale, WI 53212-1010 | 2005-06-08 |
| 1881156107 | Zoe Ziegler | Physician Assistant | 525 W River Woods Pkwy Ste 100, Glendale, WI 53212-1010 | 2019-04-04 |
| 1972879534 | Alexander Michael Riordan | Orthopaedic Surgery | 525 W River Woods Pkwy Ste 100, Glendale, WI 53212-1010 | 2012-03-28 |
| 1881686780 | Todd M Swenson | Orthopaedic Surgery | 525 W River Woods Pkwy Ste 100, Glendale, WI 53212-1010 | 2005-08-17 |
| 1316939259 | Dean W Ziegler | Orthopaedic Surgery | 525 W River Woods Pkwy Ste 100, Glendale, WI 53212-1010 | 2005-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609481001 | Beth Leanna | Counselor | Benedict Center 1849 N Dr. Marin Luther King Dr., Suite 101, Milwaukee, WI 53212 | 2020-09-11 |
| 1326683749 | A.b.d.h. Counseling Services LLC | Clinic/Center | 518 E Concordia Avenue, Milwaukee, WI 53212 | 2019-11-08 |
| 1467095703 | Ifrah Hameed | Psychologist | 1849 N Doctor M.l.k. Jr Dr# 101, Milwaukee, WI 53212 | 2019-10-18 |
| 1386293330 | Rachel Mae Nelson Bagha | Student in an Organized Health Care Education/Training Program | 1849 N Doctor M.l.k. Jr Dr #101, Milwaukee, WI 53212 | 2019-09-11 |
| 1164085205 | Mary Sue Daase Bowen | Counselor | 2821 N 4th Street, Milwaukee, WI 53212 | 2019-04-15 |
| 1649733189 | Stacey King | Counselor | Rivershore Comprehensive Treatment Facility, 3703 N Richards St, Milwaukee Wi, Milwaukee, WI 53212 | 2019-04-11 |
| 1710447701 | Scott William Stauder | Student in an Organized Health Care Education/Training Program | 1121 E. North Ave., Milwaukee, WI 53212 | 2019-03-25 |
| 1821561168 | Lydia Ann Mendez | Counselor | 3703 N Richards St, Milwaukee, WI 53212 | 2019-01-09 |
| 1851863302 | Glen Victor Fleming | Counselor | 2821 North 4th Street Suite 210, Milwaukee, WI 53212 | 2018-12-21 |
| 1093285140 | Megan Marie Volp | Advanced Practice Midwife | 2555 N Doctor M.l.k. Jr Dr, Milwaukee, WI 53212 | 2018-12-03 |
| Find all providers in zip 53212 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679113849 | G2 Physicians LLC | Orthopaedic Surgery | 20280 N 59th Ave Ste 115-528, Glendale, AZ 85308-6850 | 2020-01-15 |
| 1174014864 | Phoenix Orthopaedic Consultants, P.C. | Orthopaedic Surgery | 18699 N 67th Ave Ste 120, Glendale, AZ 85308-7141 | 2018-05-29 |
| 1346586013 | Integrated Medical Services Inc | Orthopaedic Surgery | 7330 N 99th Ave # 325, Glendale, AZ 85307-3003 | 2012-12-27 |
| 1558621870 | Nick Ghazarian | Orthopaedic Surgery | 222 W Eulalia St Ste 309, Glendale, CA 91204-2851 | 2012-05-21 |
| 1326360231 | Orthopedic Specialists of North America, Pllc | Orthopaedic Surgery | 18555 N 79th Ave Ste E101, Glendale, AZ 85308-8392 | 2010-02-18 |
| 1497935290 | Thomas B. Huizenga, M.d.,s.c. | Orthopaedic Surgery | 525 W River Woods Pkwy Ste 130, Glendale, WI 53212-1010 | 2007-11-08 |
| 1164648242 | Frank Hyman Kanovsky | Orthopaedic Surgery | 655 N Central Ave, Suite 900, Glendale, CA 91203-1422 | 2007-04-18 |
| 1962628388 | Leah Cyran | Orthopaedic Surgery | 1500 E Chevy Chase Dr Ste 401b, Glendale, CA 91206-4152 | 2007-04-17 |
| 1134214091 | Vahan Cepkinian | Orthopaedic Surgery | 222 W Eulalia #300, Glendale, CA 91204 | 2006-10-04 |
| 1770684946 | Edward G Stokes | Orthopaedic Surgery | 610 North Central Avenue, 207, Glendale, CA 91203-1403 | 2006-09-26 |
| Find all providers in GLENDALE | ||||
Please comment or provide details below to improve the information on KENNETH C BERG.
| 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.