TIMOTHY BERG (NPI# 1679192645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679192645 |
| Entity Type | Individual |
| Full Name | TIMOTHY BERG |
| Practice Address |
4777 E Galbraith Rd Cincinnati OH 45236-2725 |
| Practice Telephone | 5136865466 |
| Enumeration Date | 2020-04-10 |
| Last Update Date | 2020-04-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740828946 | Timothy Berg | Rehabilitation Practitioner | 4285 N Rancho Dr, Las Vegas, NV 89130-3446 | 2019-12-18 |
| 1760813026 | Timothy Berg | Pharmacist | 2325 Village Lake Dr, Charlotte, NC 28212-0081 | 2013-12-11 |
| 1831525062 | Timothy Allen Berg | Counselor | 1170 Pearl St, Eugene, OR 97401-3541 | 2013-09-19 |
| 1568494490 | Timothy A Berg | Surgery | 700 Scott and White Dr, College Station, TX 77845 | 2006-07-07 |
| Street Address |
4777 E GALBRAITH RD |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45236-2725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760488993 | Stephen J Goldberg | Internal Medicine | 4777 E Galbraith Rd, Cincinnati, OH 45236-2725 | 2005-06-22 |
| 1699382572 | Mary Kreimer | Nurse Practitioner | 4777 E Galbraith Rd, Cincinnati, OH 45236-2814 | 2020-09-25 |
| 1922617448 | Shuja Rizvi | Student in an Organized Health Care Education/Training Program | 4777 E Galbraith Rd, Cincinnati, OH 45236-2725 | 2020-07-30 |
| 1114547288 | Paige Waugh | Pharmacist | 4777 E Galbraith Rd, Cincinnati, OH 45236-2725 | 2020-04-19 |
| 1245869486 | Joseph Wilding | Student in an Organized Health Care Education/Training Program | 4777 E Galbraith Rd, Cincinnati, OH 45236-2725 | 2020-04-08 |
| 1932738598 | Faridoon Wahid | Student in an Organized Health Care Education/Training Program | 4777 E Galbraith Rd, Cincinnati, OH 45236-2725 | 2020-04-06 |
| 1972132736 | Austin David Jorski | Student in an Organized Health Care Education/Training Program | 4777 E Galbraith Rd, Cincinnati, OH 45236-2814 | 2020-04-03 |
| 1720617541 | Elizabeth Nicole Klein | Student in an Organized Health Care Education/Training Program | 4777 E Galbraith Rd, Cincinnati, OH 45236-2814 | 2020-04-03 |
| 1538798525 | Kofi Ansah | Student in an Organized Health Care Education/Training Program | 4777 E Galbraith Rd, Cincinnati, OH 45236-2725 | 2020-04-02 |
| 1932738978 | Douglas Joseph Holder | Podiatrist | 4777 E Galbraith Rd, Cincinnati, OH 45236-2725 | 2020-04-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700400975 | Kimberly Lorraine Carter | Technician | 3870 Alta Avenue, # 1, Cincinnati, OH 45236 | 2020-06-03 |
| 1548880032 | Manu Jacob George | Student in an Organized Health Care Education/Training Program | 4777 East Galbraith Road The Jewish Hospital, Cincinnati, OH 45236 | 2020-04-24 |
| 1497384374 | Haider Hussain Shah | Student in an Organized Health Care Education/Training Program | 4777 E. Galbraith Road, The Jewish Hospital, Cincinnati, OH 45236 | 2020-04-03 |
| 1467091868 | Wickshire Deer Park Opco LLC | Assisted Living Facility | 3801 East Galbraith Road, Cincinnati, OH 45236 | 2020-01-02 |
| 1205497633 | Nicholas Theodore D'entremont | Student in an Organized Health Care Education/Training Program | 4777 E. Galbraith Street - Jewish Hospital, Cincinnati, OH 45236 | 2019-06-26 |
| 1407410699 | Atchayaa Gunasekharan | Student in an Organized Health Care Education/Training Program | 4777 East Galbraith Road, Cincinnati, OH 45236 | 2019-04-24 |
| 1225591043 | Lauren Elizabeth Hamilton | Student in an Organized Health Care Education/Training Program | 4777 East Galbraith Rd, Cincinnati, OH 45236 | 2019-04-09 |
| 1972093714 | Hassan Shafique | Student in an Organized Health Care Education/Training Program | 4777 E Galbraith, Cincinnati, OH 45236 | 2018-05-17 |
| 1912494915 | Milica Antic | Student in an Organized Health Care Education/Training Program | The Jewish Hospital, 4777 East Galbraith Rd, Cincinnati, OH 45236 | 2018-04-16 |
| 1376041061 | Angela Eten | Nurse Practitioner | 4700 E Galbraith Rd Ste 301, Cincinnati, OH 45236 | 2018-01-27 |
| Find all providers in zip 45236 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871190546 | Philip Maxwell Wienkamp | Student in an Organized Health Care Education/Training Program | 6194 Oakhaven Dr, Cincinnati, OH 45233-4444 | 2020-10-06 |
| 1407463441 | Amanda Catherine Winner | Student in an Organized Health Care Education/Training Program | 3874 Ivanhoe Ave, Cincinnati, OH 45212-3513 | 2020-09-24 |
| 1649884198 | Lydia Wolferst | Student in an Organized Health Care Education/Training Program | 7892 Pinemeadow Ln, Cincinnati, OH 45224-1226 | 2020-09-02 |
| 1821608761 | Rachel Elizabeth Makoski | Student in an Organized Health Care Education/Training Program | 4856 Forest Meadows Ct, Cincinnati, OH 45244-1275 | 2020-08-05 |
| 1992326961 | Stephanie Rosanna Beasley | Student in an Organized Health Care Education/Training Program | 60 Gambier Cir, Cincinnati, OH 45218-1427 | 2020-04-30 |
| 1225659261 | Christopher Robert Smith | Student in an Organized Health Care Education/Training Program | 2139 Auburn Ave Tch Internal Medicine, Cincinnati, OH 45219 | 2020-04-30 |
| 1548880032 | Manu Jacob George | Student in an Organized Health Care Education/Training Program | 4777 East Galbraith Road The Jewish Hospital, Cincinnati, OH 45236 | 2020-04-24 |
| 1598385510 | Michael Aduragbemi Fatuyi | Student in an Organized Health Care Education/Training Program | 375 Dixmyth Ave., Good-samaritan Hospital, Cincinnati, OH 45220 | 2020-04-20 |
| 1457980096 | Brian Loring | Student in an Organized Health Care Education/Training Program | 3744 Herbert Ave, Cincinnati, OH 45211-5437 | 2020-04-06 |
| 1831728476 | Allison Rose Hamad | Student in an Organized Health Care Education/Training Program | 231 Sabin Way Ml 0558 Ucmc Department of Surgery, Cincinnati, OH 45267-0001 | 2020-04-06 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45236 |
Please comment or provide details below to improve the information on TIMOTHY 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.