BERIT L AMUNDSON


Address: 1415 S Hwy 89, Jackson, WY 83001-8515
Phone: 3077398999

BERIT L AMUNDSON (NPI# 1790009454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790009454
Entity Type Individual
Full Name BERIT L AMUNDSON
Credential MD
Practice Address 1415 S Hwy 89
Jackson
WY 83001-8515
Mailing Address Po Box 428
Jackson
WY 83001-0428
Practice Telephone 3077398999
Practice Fax Number 3077394811
Mailing Telephone 3077398999
Mailing Fax Number 3077394811
Enumeration Date 2010-03-23
Last Update Date 2019-01-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 11180A WY Allopathic & Osteopathic Physicians
N 207Q00000X Family Medicine 54338 MN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WY 147069800 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
1400 Jefferson Rd, Northfield, MN 550573081 5076639000

Office Location

Street Address 1415 S HWY 89
City JACKSON
State WY
Zip Code 83001-8515

Providers in the same location

NPI Name Taxonomy Address Enumeration
1336169036 James R Little Jr. Family Medicine 1415 S Hwy 89, Jackson, WY 83001-8515 2006-07-19
1093161572 Lauren E Furtney Social Worker 1415 S Hwy 89, Jackson, WY 83001 2016-05-13
1780011551 Lindsay M Long Social Worker 1415 S Hwy 89, Jackson, WY 83001 2013-10-10
1942648365 Cecelia Tramburg Nurse Practitioner 1415 S Hwy 89, Jackson, WY 83001-8515 2013-06-07
1851661284 Layne Ellen Lash Nurse Practitioner 1415 S Hwy 89, Jackson, WY 83001-8515 2012-01-02
1073897930 Kimberly Ann Mellick Nurse Practitioner 1415 S Hwy 89, Jackson, WY 83001-8515 2011-10-10
1134307911 Kevin Sanville Family Medicine 1415 S Hwy 89, Jackson, WY 83001-8515 2008-02-05
1194890590 Jennifer J Fritch Emergency Medicine 1415 S Hwy 89, Jackson, WY 83001-8515 2006-11-21

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861006108 Anne Kathleen Milburn Physical Therapist 3620 S Park Drive, Jackson, WY 83001 2020-09-03
1568009637 Katherine Pringle Ford Case Manager/Care Coordinator 2065 E. Limber Pine Road, Jackson, WY 83001 2019-12-07
1043878408 Cossette Burnham Physical Therapist Four Pines Physical Therapy, 1090 S Hwy 89, Jackson, WY 83001 2019-05-31
1982169371 Cynthia Buck Huyffer Social Worker 755a Cache Creek Drive, Jackson, WY 83001 2019-02-10
1093281594 Lara Cilo Speech-Language Pathologist 1300 W. Valley Springs Road, Jackson, WY 83001 2018-10-23
1740776202 Teton Oral and Maxillofacial Surgery Dentist 1160 Alpine Ln Ste 1d, Jackson, WY 83001 2018-07-09
1437642055 Anna Yanchek Physical Therapist 1090 Us- 89, Jackson Hole, WY 83001 2018-06-08
1891200762 Tyler Ross Wright Chiropractor 1325 Us-89, Suite 108, Jackson, WY 83001 2017-12-13
1073027280 Root To Rise Counseling and Consulting, Pllc Social Worker 2033 Dandelion Court, Jackson, WY 83001 2017-11-27
1962923912 Piper Worthington Social Worker 1910 High School Rd, Jackson, WY 83001 2017-06-29
Find all providers in zip 83001

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1235754995 Oak Street Health Physicians Group of Mississippi, LLC Family Medicine 911 Ellis Ave, Jackson, MS 39209 2020-06-09
1003470758 Central Mississippi Health Services, Inc Family Medicine 3450 Highway 80 W Ste 71, Jackson, MS 39209-7201 2019-04-29
1922515493 Meaghan Schenk Johnson Family Medicine 2969 Curran Dr N # 200, Jackson, MS 39216-4121 2018-01-05
1740795731 Emily Colleen Dunaway Family Medicine 1227 N State St # 101, Jackson, MS 39202-2002 2017-12-12
1679086367 Hope Np House Call Practice Family Medicine 98 Grandview Ave, Jackson, OH 45640-9090 2017-11-16
1427585488 Daniel Matthew Bender Family Medicine 455 W Broadway Ave, Jackson, WY 83001-8639 2017-05-21
1891235289 Logan Hardin Family Medicine 1270 Union University Dr Ste A, Jackson, TN 38305-3856 2017-03-03
1255782843 Seth Tyler Koehler Family Medicine 2600 E Main St, Jackson, MO 63755-2473 2016-06-25
1720495245 Gopi Patel Family Medicine 27 S Cooks Bridge Rd Ste 2-1, Jackson, NJ 08527-2524 2014-07-16
1154735165 Lk Physicians Services Pllc Family Medicine 36 Lake Pointe Dr, Jackson, TN 38305-8113 2014-06-17
Find all providers in JACKSON

Competitor

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City JACKSON
Zip Code 83001

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Dataset Information

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.

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