MERRITT JONATHAN BERN (NPI# 1720066483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720066483 |
Entity Type | Individual |
Full Name | MERRITT JONATHAN BERN |
Credential | MD |
Practice Address |
3 Riverside Cir Carilion Clinic Gastroenterolgy Riverside 3 Roanoke VA 24016-4955 |
Practice Telephone | 5402245170 |
Practice Fax Number | 5409859418 |
Mailing Telephone | 5402245170 |
Mailing Fax Number | 5409859418 |
Enumeration Date | 2006-01-04 |
Last Update Date | 2018-12-04 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
01080690A | IN | Allopathic & Osteopathic Physicians |
N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
0101040654 | VA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VA | 006097839 | 05 | |
ANTHEM | 260856 | 01 | |
VA | MEDICARE PTAN | VVA900A | 01 |
MC RAIL ROAD | 100009137 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
11104 Parkview Circle Dr Ste 310, Fort Wayne, IN 468451733 | 2602665230 | 2602665238 |
Street Address |
3 RIVERSIDE CIR CARILION CLINIC GASTROENTEROLGY RIVERSIDE 3 |
City | ROANOKE |
State | VA |
Zip Code | 24016-4955 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376535872 | Bruce E Johnson | Internal Medicine | 3 Riverside Cir, Roanoke, VA 24016-4955 | 2005-08-19 |
1194355024 | Leanna M Stone | Social Worker | 3 Riverside Cir, Roanoke, VA 24016-4955 | 2020-01-20 |
1689231847 | Ashley Light | Audiologist | 3 Riverside Cir, Roanoke, VA 24016-4955 | 2019-05-23 |
1063975282 | Katherine Elizabeth Chafin | Nurse Practitioner | 3 Riverside Cir, Roanoke, VA 24016 | 2019-04-14 |
1932665544 | Amy Marshall | Nurse Practitioner | 3 Riverside Cir, Roanoke, VA 24016 | 2019-02-19 |
1730652991 | Sydney Elizabeth Garst | Physician Assistant | 3 Riverside Cir, Roanoke, VA 24016 | 2019-01-09 |
1306318084 | Sarah Abey | Nurse Practitioner | 3 Riverside Cir, Roanoke, VA 24016 | 2018-12-19 |
1518439397 | Justin James Gray | Clinical Neuropsychologist | 3 Riverside Cir, Roanoke, VA 24016-4955 | 2018-12-18 |
1992281877 | Corinne O'shaughnessy | Audiologist | 3 Riverside Cir, Roanoke, VA 24016-4955 | 2018-07-13 |
1518453463 | Feryal Nauman | Student in an Organized Health Care Education/Training Program | 3 Riverside Cir, Roanoke, VA 24016-4955 | 2018-07-03 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134758329 | Davis Andrew Sugar | Student in an Organized Health Care Education/Training Program | 1 Riverside Circle, Suite 401, Roanoke, Va, 24016, Suite 401, Roanoke, VA 24016 | 2020-04-08 |
1356810659 | Susanne Tribble | Social Worker | 202 Wells Ave Nw, Roanoke, VA 24016 | 2018-11-15 |
1801305818 | Rena Lee Daye | Driver | 10 12th St. Sw, Roanoke, VA 24016 | 2017-09-21 |
1053841965 | Christin Elledge Clark | Nurse Practitioner | 1234 Franklin Road, Roanoke, VA 24016 | 2017-06-13 |
1235685884 | Helen Franck | Physical Therapist | 650 North Jefferson Street, Roanoke, VA 24016 | 2016-09-01 |
1457710238 | Frances Marie Gaeta | Social Worker | 360 Campbell Ave, Roanoke, VA 24016 | 2016-02-22 |
1982073292 | Sophie Mench Tranmer | Physical Therapist | 1421 Third St. Sw, Roanoke, VA 24016 | 2015-09-16 |
1982008181 | National Counseling Group, Inc | Psychiatry & Neurology | 20 Walnut Avenue, Roanoke, VA 24016 | 2014-10-17 |
1366858342 | National Counseling Group, Inc | Psychiatry & Neurology | 16 Walnut Avenue, Roanoke, VA 24016 | 2014-07-10 |
1427320878 | Kristen L. Jagger | Physical Medicine & Rehabilitation | 1015 First Street Sw Suite 2, Roanoke, VA 24016 | 2012-02-01 |
Find all providers in zip 24016 |
Taxonomy Code | 207RG0100X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Gastroenterology |
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal 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 |
---|---|---|---|---|
1528004942 | Dennis Barry Weiserbs | Internal Medicine | 202 Duke of Glouchester Street, Roanoke, VA 24014 | 2006-06-22 |
1639121403 | Alan Vladimir Burnstein | Internal Medicine | 202 Duke of Glouchester St, Roanoke, VA 24014 | 2006-05-17 |
1821040155 | Michael D Lee | Internal Medicine | 202 Duke of Gloucester St Sw, Roanoke, VA 24014-1372 | 2006-05-16 |
1154661288 | Farhad Sahebjam | Internal Medicine | 3 Riverside Cir, Roanoke, VA 24016-4955 | 2013-02-27 |
1952655417 | Dario R Sorrentino | Internal Medicine | 3 Riverside Cir, Roanoke, VA 24016-4955 | 2012-11-06 |
1104189695 | Vu Q Nguyen | Internal Medicine | 3 Riverside Cir, Roanoke, VA 24016-4955 | 2012-06-19 |
1720378730 | Maithili Vikas Chitnavis | Internal Medicine | 3 Riverside Cir, Roanoke, VA 24016-4955 | 2011-04-11 |
1609043579 | Badar Muneer | Internal Medicine | 3 Riverside Cir, Roanoke, VA 24016 | 2008-05-09 |
1730371196 | Manoj Kumar | Internal Medicine | 3 Riverside Cir, Roanoke, VA 24016-4955 | 2007-08-09 |
1891838249 | Paul Yeaton | Internal Medicine | 3 Riverside Circle, Lee Street, 1st Floor, Roanoke, VA 24016 | 2007-02-15 |
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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.