DR. SAMUEL WILLIAM BERG II (NPI# 1659349017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659349017 |
| Entity Type | Individual |
| Full Name | DR. SAMUEL WILLIAM BERG II |
| Credential | M.D. |
| Practice Address |
3130 Victoria Blvd Hampton VA 23661-1544 |
| Practice Telephone | 7573153763 |
| Practice Fax Number | 7577271185 |
| Mailing Telephone | 7573153763 |
| Mailing Fax Number | 7577271185 |
| Enumeration Date | 2006-03-10 |
| Last Update Date | 2008-09-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 0101054512 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | VIRGINIA PREMIER | 4975014 | 01 |
| VA | SENTARA HEALTH | 47211 | 01 |
| VA | 004975014 | 05 | |
| VA | ANTHEM | 089265 | 01 |
| Street Address |
3130 VICTORIA BLVD |
| City | HAMPTON |
| State | VA |
| Zip Code | 23661-1544 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144298142 | Commonwealth of Virginia State Board of Health | Clinic/Center | 3130 Victoria Blvd, Hampton, VA 23661-1544 | 2006-03-08 |
| 1184813768 | Gayle Johnson | Nurse Practitioner | 3130 Victoria Blvd, Hampton, VA 23661-1544 | 2007-10-18 |
| 1275659690 | Virginia Department of Health | Pharmacist | 3130 Victoria Blvd, Hampton, VA 23661-1544 | 2007-03-21 |
| 1356319677 | Joseph Edward Manno | Pharmacist | 3130 Victoria Blvd, Hampton, VA 23661-1544 | 2006-03-11 |
| 1720056005 | Charles Ambrose Rend | Obstetrics & Gynecology | 3130 Victoria Blvd, Hampton, VA 23661-1544 | 2006-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346852639 | Britteny Nicole Stone-joel | Nurse Practitioner | 614 Rolfe Street, Hampton, VA 23661 | 2020-08-19 |
| 1629408521 | Julie Elizabeth Hoegger | Nurse Practitioner | 77 Nealy Avenue, 633d Medical Group, Joint Base Langley-eustis, VA 23661 | 2013-11-14 |
| 1548594435 | Haley Durrette Logan | Chiropractor | 593 Aberdeen Rd, Hampton, VA 23661 | 2009-09-24 |
| 1003347535 | Angela Mcdowell | Social Worker | 701 Howmet Dr Ste 160, Hampton, VA 23661-1001 | 2017-03-26 |
| 1487276200 | Family Restoration Services | Community/Behavioral Health | 701 Howmet Dr Ste 160, Hampton, VA 23661-1001 | 2020-05-14 |
| 1033231279 | United & Empowered Care, Inc. | Skilled Nursing Facility | 916 Glenrock Dr, Hampton, VA 23661-1017 | 2007-04-06 |
| 1235771536 | Valencia Jackson | Registered Nurse | 914 Thornbriar Ct, Hampton, VA 23661-1026 | 2019-10-08 |
| 1881107589 | Helping Everyone Live Progressively, LLC | Clinic/Center | 703 Howmet Dr Ste A, Hampton, VA 23661-1093 | 2017-11-16 |
| 1649315011 | Versability Resources, Inc. | Intermediate Care Facility, Mentally Retarded | 2520 58th Street, Hampton, VA 23661-1228 | 2007-02-21 |
| 1922015577 | Versability Resources, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2520 58th St, Hampton, VA 23661-1228 | 2006-08-02 |
| Find all providers in zip 23661 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952718520 | Kashmal Patel | Internal Medicine | 49 W Mercury Blvd, Hampton, VA 23669-2508 | 2014-07-16 |
| 1962812396 | Sabita R Sarkar | Internal Medicine | 100 Emancipation Dr Hampton Va 23667, Hampton, VA 23667-2237 | 2014-05-07 |
| 1588924252 | Iris Castro-revoredo Md Inc | Internal Medicine | 13957 Woolsey Rd, Hampton, GA 30228-2246 | 2012-05-29 |
| 1215220389 | Mamta Ojha | Internal Medicine | 4001 Coliseum Dr Ste 300, Hampton, VA 23666-6257 | 2011-05-24 |
| 1477888659 | Theodore R Reiff | Internal Medicine | 2 Diamond Hill Rd, Hampton, VA 23666-6009 | 2009-10-06 |
| 1588894455 | Thomas Michael Shea | Internal Medicine | 37 Diller Way, Hampton, NJ 08827-2533 | 2009-07-24 |
| 1588824072 | Jennifer Christiansen | Internal Medicine | 428 Lafayette Rd, Apt 101, Hampton, NH 03842-2268 | 2008-06-10 |
| 1073715736 | William Edward Brown IIi | Internal Medicine | 6 Manhattan Sq Ste 100, Hampton, VA 23666-5846 | 2007-06-04 |
| 1356468466 | Abdul H. Jamaludeen, Md | Internal Medicine | 441 Algonquin Rd, Hampton, VA 23661-1515 | 2007-03-23 |
| 1326124884 | Anacleto Gamit Gallanosa | Internal Medicine | 39 Timberline Drive, Hampton, VA 23666 | 2006-10-27 |
| Find all providers in HAMPTON | ||||
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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.