MR. MICHAEL JOHN BERG (NPI# 1598399677) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598399677 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL JOHN BERG |
| Credential | AGACNP-BC |
| Practice Address |
3272 E Meadowview Dr Gilbert AZ 85298-4313 |
| Practice Telephone | 4802034365 |
| Mailing Telephone | 4802034365 |
| Enumeration Date | 2020-02-27 |
| Last Update Date | 2020-10-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WE0003X |
Registered Nurse Specialization: Emergency |
RN193635 | AZ | Nursing Service Providers |
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
235165 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LC0200X |
Nurse Practitioner Specialization: Critical Care Medicine |
235165 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
235165 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 13555 W Mcdowell Rd Ste 205, Goodyear, AZ 853952626 | 6028924757 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588771653 | Michael Berg | Internal Medicine | 1330 E 6th St Ste 203, Weslaco, TX 78596-6608 | 2006-08-24 |
| 1184642332 | Michael Allen Berg | Chiropractor | 805 Lions Dr, Troy, IL 62294-2440 | 2006-07-17 |
| 1013970664 | Michael P Berg | Optometrist | 421 West Riverside, #280, Spokane, WA 99201 | 2006-04-06 |
| 1538587662 | Michael Berg | Anesthesiology | 400 W 16th St, Pueblo, CO 81003 | 2014-04-05 |
| 1033556758 | Michael D. Berg | Counselor | 402 S Silver Springs Rd, Cape Girardeau, MO 63703-7536 | 2013-06-04 |
| 1033440417 | Michael Berg | Pharmacist | 5115 W Baseline Rd, Laveen, AZ 85339-3000 | 2010-01-25 |
| 1548428881 | Michael John Berg | Counselor | 7250 Clearvista Dr Ste 260, Indianapolis, IN 46256-4686 | 2008-05-22 |
| 1548326978 | Michael Lawrence Berg | Nurse Practitioner | 2016 Morse Ave, Sacramento, CA 95825-2135 | 2006-12-29 |
| 1023179801 | Michael S Berg | Nurse Anesthetist, Certified Registered | 405 W Country Club Rd, Roswell, NM 88201-5209 | 2006-12-13 |
| 1124187356 | Michael Berg | Spec/Tech, Cardiovascular | 2315 N Lake Dr, Suite 703, Milwaukee, WI 53211-4518 | 2006-12-06 |
| Street Address |
3272 E MEADOWVIEW DR |
| City | GILBERT |
| State | AZ |
| Zip Code | 85298-4313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912504788 | Elixeum Health, LLC | Home Health | 3272 E Meadowview Dr, Gilbert, AZ 85298-4313 | 2020-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629614623 | Katherine Elizabeth Reynolds | Nurse Practitioner | 1956 E. Azalea Ct., Gilbert, AZ 85298 | 2019-11-25 |
| 1972023281 | Jamie Lynn Williams | Specialist/Technologist | 2216 E Brigadier Dr, Gilbert, AZ 85298 | 2017-06-27 |
| 1891233896 | Gabbrielle Rene Knabe | Nurse Practitioner | 3336 East Chandler Heights Road Ste 132, Sundance Medical Associates, Gilbert, AZ 85298 | 2017-02-09 |
| 1508212580 | Better Horizons LLC | Community Based Residential Treatment Facility, Mental Illness | 3030 E Sports Court, Gilbert, AZ 85298 | 2016-05-10 |
| 1952766602 | Ji Yong Kim | Specialist/Technologist, Other | 2301 West Sanoque Ct, Gilbert, AZ 85298 | 2015-12-23 |
| 1043675838 | Clarisse Kamgaing | Psychologist | 2442 E. Eleana Lane, Gilbert, AZ 85298 | 2015-12-21 |
| 1831577139 | Arizona Iom LLC | Specialist/Technologist, Other | 2301 West Sanoque Court, Gilbert, AZ 85298 | 2015-05-07 |
| 1306268164 | Jessica O'neil | Licensed Practical Nurse | 6930 South Seville Blvd E, Gilbert, AZ 85298 | 2014-01-14 |
| 1548696164 | James Holloway | Chiropractor | 4828 S Val Vista Dr, Gilbert, AZ 85298 | 2013-09-16 |
| 1457685174 | Carrie Jennifer Malachowski | Social Worker | 4115 E. Saraband Way, Gilbert, AZ 85298 | 2009-09-29 |
| Find all providers in zip 85298 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962910877 | Peggy Hocutt | Nurse Practitioner | 3686 S Rome St Ste 201, Gilbert, AZ 85297-7341 | 2018-01-12 |
| 1467973156 | Michael Montoya | Nurse Practitioner | 2946 E Banner Gateway Drive - Bmdacc, Gilbert, AZ 85234 | 2017-07-03 |
| 1073059655 | Keata Bhakta | Nurse Practitioner | 721 E Elgin St, Gilbert, AZ 85295-1581 | 2017-01-06 |
| 1144770843 | Ansan Thomas | Nurse Practitioner | 1030 N Wade Dr, Gilbert, AZ 85234-2922 | 2016-10-06 |
| 1982070843 | Sharly K Thomas | Nurse Practitioner | 4099 E Bruce Ct, Gilbert, AZ 85234-0709 | 2015-08-14 |
| 1316324080 | Wendy Ann Robb | Nurse Practitioner | 1422 E Strawberry Dr, Gilbert, AZ 85298-0807 | 2015-05-01 |
| 1285030312 | Eddie Belleza Tabarangao | Nurse Practitioner | 4280 E Sierra Madre Ave, Gilbert, AZ 85296-1589 | 2014-11-17 |
| 1174949390 | Euly Cecille Smith | Nurse Practitioner | 3458 E Terrace Ave, Gilbert, AZ 85234-1721 | 2014-03-12 |
| 1801219449 | Hannah Bangura | Nurse Practitioner | 880 N. Colorado Strees, Gilbert, AZ 85233 | 2014-02-03 |
| 1154932051 | Margaret Capozzi | Nurse Practitioner | 2946 E Banner Gateway Dr, Gilbert, AZ 85234-2165 | 2020-08-13 |
| Find all providers in GILBERT | ||||
Please comment or provide details below to improve the information on MR. MICHAEL JOHN 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.