DR. MARK T BERGMANN (NPI# 1669431805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669431805 |
| Entity Type | Individual |
| Full Name | DR. MARK T BERGMANN |
| Credential | MD |
| Practice Address |
2859 Boudinot Ave Ste 301 Cincinnati OH 45238-1606 |
| Mailing Address |
5535 Fair Ln Suite C Cincinnati OH 45227-3434 |
| Practice Telephone | 5136613566 |
| Practice Fax Number | 5136616469 |
| Mailing Telephone | 5132215274 |
| Mailing Fax Number | 5139615100 |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2013-12-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 35-049117 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0688548 | 05 | |
| OH | RAILROAD MEDICARE | 180032729 | 01 |
| Street Address |
2859 BOUDINOT AVE STE 301 |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45238-1606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548259310 | Rank Orion Dawson Jr. | Family Medicine | 2859 Boudinot Ave, Ste 305, Cincinnati, OH 45238-1608 | 2005-10-14 |
| 1184020067 | Mercy Health Physicians Cincinnati, LLC | Internal Medicine | 2859 Boudinot Ave, Suite 304, Cincinnati, OH 45238-1606 | 2014-11-05 |
| 1427337500 | Tonya M Ellis | Physical Therapist | 2859 Boudinot Ave, Suite 205, Cincinnati, OH 45238-1606 | 2011-08-08 |
| 1396079109 | Christian Community Health Services | Clinic/Center | 2859 Boudinot Ave, Suite 107, Cincinnati, OH 45238-1607 | 2009-09-25 |
| 1073784310 | Alliance Primary Care | Radiology | 2859 Boudinot Ave, Suite 107, Cincinnati, OH 45238-1606 | 2008-03-14 |
| 1750437646 | Cincinnati Dermatology, Inc. | Dermatology | 2859 Boudinot Ave, Suite 307, Cincinnati, OH 45238-1606 | 2007-01-25 |
| 1194884957 | Matthew Ernest Ciambarella | Chiropractor | 2859 Boudinot Ave, Suite 304, Cincinnati, OH 45238-1606 | 2006-12-07 |
| 1265500821 | Tri-state Centers for Sight, Inc. | Ophthalmology | 2859 Boudinot Ave, Suite 308, Cincinnati, OH 45238-1606 | 2006-12-01 |
| 1265481972 | Robert P Flick | Obstetrics & Gynecology | 2859 Boudinot Ave, Mob A, Ste 207, Cincinnati, OH 45238-1606 | 2006-05-09 |
| 1649229766 | Hilda Jalipa Canos | Internal Medicine | 2859 Boudinot Ave, Suite 207, Cincinnati, OH 45238-1606 | 2006-05-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548860588 | Corey Allison | Case Manager/Care Coordinator | 312 Glenmore Ave. Ste 14, Cincinnati, OH 45238 | 2020-10-29 |
| 1366077174 | Lawanda Antoinette Price | Counselor | 5122 Glenway Crossing Way, Cincinnati, OH 45238 | 2020-03-12 |
| 1639715808 | Bullock Dialysis LLC | Clinic/Center | 2290 Ferguson Rd, Cincinnati, OH 45238 | 2019-11-22 |
| 1629547021 | Abigail M Rebholz | Speech-Language Pathologist | 2039 Anderson Ferry Rd, Cincinnati, OH 45238 | 2018-11-15 |
| 1942667548 | Lashawnda C Gaston | Military Health Care Provider | 1322 Le Mar Dr, Cincinnati, OH 45238 | 2016-01-27 |
| 1134598402 | Abbie Crookham | Registered Nurse | 2146 Ferguson Rd., Cincinnati, OH 45238 | 2015-09-17 |
| 1518341346 | Kenyatta Shena Mccrary | Home Health Aide | 831 Greenwich Ave, Cincinnati, OH 45238 | 2015-07-10 |
| 1225431893 | Brooke Whalen | Dental Assistant | 2146 Ferguson Road, Cincinnati, OH 45238 | 2014-09-26 |
| 1669885588 | Moussa Demba | Medicare Defined Swing Bed Unit | 2484 Queen City Ave Apt 7, Cincinnati, OH 45238 | 2014-06-09 |
| 1811335961 | Kelly G Mirus | Specialist/Technologist | 5161 Ralph Ave, Cincinnati, OH 45238 | 2013-06-11 |
| Find all providers in zip 45238 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| 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 Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376142182 | Tri-state Centers for Sight Inc | Ophthalmology | 8270 Pine Rd, Cincinnati, OH 45236-1900 | 2020-10-22 |
| 1922660620 | The Cincinnati Eye Institute Foundation | Ophthalmology | 1574 Claretta Dr, Cincinnati, OH 45231-5405 | 2019-07-02 |
| 1477915254 | Kevin Daniel Stromberg | Ophthalmology | 231 Albert Sabin Way Fl 5, Cincinnati, OH 45267-3908 | 2016-03-22 |
| 1396125589 | Stephan George Dixon | Ophthalmology | 5340 Rapid Run Rd Ste 2, Cincinnati, OH 45238-4260 | 2015-06-03 |
| 1588055917 | Healthfair Plus LLC | Ophthalmology | 201 E 5th St Fl 19, Cincinnati, OH 45202-4162 | 2015-02-06 |
| 1902148745 | Alisha Gandhi Kumar | Ophthalmology | 3310 Mercy Health Blvd # 200, Cincinnati, OH 45211 | 2013-03-19 |
| 1346575479 | Daniel John Hammer | Ophthalmology | 5535 Fair Ln Ste C, Cincinnati, OH 45227-3440 | 2009-10-07 |
| 1245432392 | Haroon Anwar Chaudhry | Ophthalmology | 5535 Fair Ln, Suite C, Cincinnati, OH 45227-3434 | 2007-06-01 |
| 1881761997 | Tristate Centers for Sight, Inc. | Ophthalmology | 12124 Sheraton Ln, Cincinnati, OH 45246-1618 | 2006-11-30 |
| 1144233776 | Chester Cornelius Pryor II | Ophthalmology | 2828 Highland Ave, Cincinnati, OH 45219-2399 | 2006-08-14 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45238 |
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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.