NADA BERRY (NPI# 1619198157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619198157 |
| Entity Type | Individual |
| Full Name | NADA BERRY |
| Credential | MD |
| Practice Address |
747 N Rutledge St 3rd Floor Springfield IL 62702-6700 |
| Mailing Address |
Po Box 19653 Springfield IL 62794-9653 |
| Practice Telephone | 2175458000 |
| Practice Fax Number | 2175452588 |
| Mailing Telephone | 2175458000 |
| Mailing Fax Number | 2175452588 |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2020-10-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208200000X | Plastic Surgery | 036-128728 | IL | Allopathic & Osteopathic Physicians |
| Y | 2082S0105X |
Plastic Surgery Specialization: Surgery of the Hand |
036-128728 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036128728 | 05 |
| Street Address |
747 N RUTLEDGE ST 3RD FLOOR |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62702-6700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619974532 | Neha N Amin | Obstetrics & Gynecology | 747 N Rutledge St, Baylis Building, 2nd Floor, Springfield, IL 62702-6700 | 2005-07-07 |
| 1295343648 | Katherine G Brockhouse | Nurse Practitioner | 747 N Rutledge St, Springfield, IL 62702-6700 | 2020-07-21 |
| 1376151258 | Lauren Woldanski | Plastic Surgery | 747 N Rutledge St, Springfield, IL 62702-6700 | 2020-07-16 |
| 1356968358 | Jessie Laina Koljonen | Plastic Surgery | 747 N Rutledge St, Springfield, IL 62702-6700 | 2020-06-25 |
| 1487274882 | Tiffany Lynn Damm | Urology | 747 N Rutledge St, Springfield, IL 62702-6700 | 2020-04-26 |
| 1811516065 | Jazzmyne T Montgomery | Urology | 747 N Rutledge St, Springfield, IL 62702-6700 | 2020-04-08 |
| 1639738644 | Alexis Ruffolo | Plastic Surgery | 747 N Rutledge St, Springfield, IL 62702-6700 | 2019-06-12 |
| 1922667930 | Justin D Sawyer | Plastic Surgery | 747 N Rutledge St, Springfield, IL 62702-6700 | 2019-06-12 |
| 1174016950 | Michael Romanelli | Plastic Surgery | 747 N Rutledge St, Springfield, IL 62702-6700 | 2018-06-07 |
| 1902398357 | William James Bruce | Plastic Surgery | 747 N Rutledge St, Springfield, IL 62702-6700 | 2018-06-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457866519 | Mohammad Jamal Uddin Ansari | Internal Medicine | 751 N Rutledge St Ste 400, Springfield, IL 62702 | 2017-12-11 |
| 1588105811 | Mickey Graphia | Surgery | 701 N 1st St # D346, Springfield, IL 62702 | 2017-03-20 |
| 1376908913 | Abdul Hannan | Internal Medicine | 315 W Carpenter St # B, Springfield, IL 62702 | 2015-12-28 |
| 1871986414 | Rachel Hoselton | Nurse Practitioner | 400 N 9th St Fl 4, Springfield, IL 62702 | 2015-03-06 |
| 1548697774 | Alyssa Wilson | Behavioral Analyst | 232 Bruns Lane, One Sparcenter Plaza, Springfield, IL 62702 | 2013-10-02 |
| 1174965446 | Amy Wilson | Speech-Language Pathologist | 2120 West Washington Street, Springfield, IL 62702 | 2013-07-26 |
| 1275898116 | Pele Boutrous Dina | Pediatrics | 415 N 9th St # 4w16, Springfield, IL 62702 | 2012-07-06 |
| 1427327733 | Brook D Croke | Genetic Counselor, MS | 400 N. 9th Street, 3rd Floor Clinic B, Springfield, IL 62702 | 2011-12-16 |
| 1629352604 | Renae M Sanchez | Pharmacist | 3216 East Clearlake Ave, Springfield, IL 62702 | 2011-10-07 |
| 1982915302 | William Leland Zelkovich | Radiology | 701 N 1st, Springfield, IL 62702 | 2010-06-30 |
| Find all providers in zip 62702 | ||||
| Taxonomy Code | 2082S0105X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| Specialization | Surgery of the Hand |
| A plastic surgeon with additional training in the investigation, preservation, and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700823879 | Robert C Russell | Plastic Surgery | 320 E Carpenter St, Springfield, IL 62702-5185 | 2006-05-31 |
| 1831508910 | Allyne Topaz | Plastic Surgery | 747 N Rutledge St, Springfield, IL 62702-6700 | 2014-08-04 |
| 1518121094 | Kelly Currie | Plastic Surgery | 747 N Rutledge St, Springfield, IL 62702-6700 | 2008-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326305632 | Jack Michael Monasterio | Plastic Surgery | 26w295 Glen Eagles Dr, Winfield, IL 60190-2313 | 2012-04-12 |
| 1528368016 | Plastic and Reconstructive Surgery Center Sc | Plastic Surgery | 3443 N Kennicott Ave, Arlington Hts, IL 60004-1431 | 2010-10-30 |
| 1619118536 | Mac Medical Services Corp | Plastic Surgery | 2314 S Route 59, #180, Plainfield, IL 60586-7756 | 2009-03-23 |
| 1770757130 | Jacob Maxwell-phillip Bloom | Plastic Surgery | 1 E Delaware Pl Ste 501, Chicago, IL 60611 | 2008-04-16 |
| 1508034596 | Theodore D. Fifer | Plastic Surgery | 14900 N Court 9, Effingham, IL 62401-7640 | 2008-02-13 |
| 1487662557 | Vic T. Tsai, M.d., S.c. | Plastic Surgery | 823 129th Infantry Dr Ste 103, Joliet, IL 60435-8347 | 2006-08-04 |
| 1669475794 | Raymond V Janevicius | Plastic Surgery | 360 W Butterfield Rd, Ste 230, Elmhurst, IL 60126-5000 | 2005-05-23 |
| 1700140613 | Midamerica Orthopaedics, S.c. | Plastic Surgery | 19065 Hickory Creek Dr, Suite 210, Mokena, IL 60448-8507 | 2012-06-26 |
| 1881906535 | Alan Chen Surgical Associates, PC | Plastic Surgery | 823 N 129th Infantry Dr, Ste 103, Joliet, IL 60435-8346 | 2010-07-10 |
| 1407070329 | Raymond V Janevicius Md PC | Plastic Surgery | 360 W Butterfield Rd, Suite 230, Elmhurst, IL 60126-5068 | 2007-04-12 |
| Find all providers with the same taxonomy | ||||
| City | SPRINGFIELD |
| Zip Code | 62702 |
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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.