DR. JOSHUA RYAN BERG (NPI# 1801195367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801195367 |
| Entity Type | Individual |
| Full Name | DR. JOSHUA RYAN BERG |
| Credential | D.O. |
| Practice Address |
301 N 1st St Altus OK 73523-5004 |
| Practice Telephone | 5804817082 |
| Mailing Telephone | 5804817082 |
| Enumeration Date | 2011-03-23 |
| Last Update Date | 2014-06-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 69175 | GA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497388698 | Joshua L Berg | Behavior Technician | 2008 General Booth Blvd Ste B, Virginia Beach, VA 23454-5910 | 2020-02-16 |
| 1689065484 | Joshua Berg | Specialist/Technologist | 1 Dent Dr, Lewisburg, PA 17837-2005 | 2015-02-15 |
| 1851504518 | Joshua Bradley Berg | Internal Medicine | 1125 College Ave, Fort Worth, TX 76104-4514 | 2007-05-08 |
| Street Address |
301 N 1ST ST |
| City | ALTUS |
| State | OK |
| Zip Code | 73523-5004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578917217 | Brett Tyler Grobman | Family Medicine | 301 N 1st St, Altus, OK 73523-5004 | 2016-04-19 |
| 1932567286 | Michael John-paul Triana | Military Health Care Provider | 301 N 1st St, Altus, OK 73523-5004 | 2016-02-02 |
| 1336554310 | James Robert Campbell IIi | Pediatrics | 301 N 1st St, Altus, OK 73523-5004 | 2014-06-27 |
| 1962742999 | Phillip Tyler Price | Family Medicine | 301 N 1st St, Bldg. 46, Altus, OK 73523-5004 | 2013-02-28 |
| 1023324241 | Alexandra E Hernandez | Dentist | 301 N 1st St, Altus, OK 73523-5004 | 2010-08-25 |
| 1659684520 | Oscar Salas | Military Health Care Provider | 301 N 1st St, Altus, OK 73523-5004 | 2010-07-21 |
| 1427387729 | Sally Lay To | Pharmacist | 301 N 1st St, Bldg 46, Altus, OK 73523-5004 | 2009-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629440920 | Jessica D'andrea | Psychologist | 209 E Sir Dr., Altus, OK 73523-0000 | 2015-10-26 |
| 1528449642 | Matthew Albright | Family Medicine | 301 N 1st St # 46, Altus, OK 73523-5004 | 2015-06-15 |
| 1093924441 | Wayne Joseph Merback | Pediatrics | 301 N 1st St Bldg 46, Altus Afb, OK 73523-5004 | 2007-05-22 |
| 1366934523 | Andrew James Dimond | Psychologist | 301 N 1st St # 46, Altus, OK 73523-5004 | 2018-06-04 |
| 1578743217 | Jessica Audrey Lotridge | Family Medicine | 301 N 1st St Bldg 46, Altus Afb, OK 73523-5004 | 2007-11-09 |
| 1528204559 | Ryan Luther Buhite | Psychologist | 301 N First Street, 97 Mdos/sgow Bldg 46, Altus Afb, OK 73523-5005 | 2008-12-22 |
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336554310 | James Robert Campbell IIi | Pediatrics | 301 N 1st St, Altus, OK 73523-5004 | 2014-06-27 |
| 1902164916 | Lindsey Nicole King | Pediatrics | 101 S Park Ln, Altus, OK 73521-5731 | 2012-04-26 |
| 1962670364 | Kristen Marie Savath | Pediatrics | 101 S Park Ln, Altus, OK 73521-5731 | 2008-02-19 |
| 1326156787 | Neil Vitale | Pediatrics | 1200 E Pecan St, Altus, OK 73521-6141 | 2006-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457972366 | Saint Medical Group, LLC | Pediatrics | 3400 S Douglas Blvd Ste 307a, Oklahoma City, OK 73150-1001 | 2020-05-01 |
| 1326674177 | Premier Pediatric and Adolescent Care of Bixby | Pediatrics | 7814 E 121st St, Bixby, OK 74008 | 2020-03-12 |
| 1174180137 | Iorga Pediatrics LLC | Pediatrics | 201 N Monte Vista St Ste C, Ada, OK 74820-7220 | 2019-05-24 |
| 1851868863 | Okc Kids Urology Pllc | Pediatrics | 3705 Nw 63rd St Ste 211, Oklahoma City, OK 73116-1937 | 2018-10-28 |
| 1679067664 | Laurie Ann Alfrey | Pediatrics | 1025 E 18th St, Tulsa, OK 74120-7406 | 2018-06-21 |
| 1700380268 | Katherine Ann Brashears | Pediatrics | 6628 Fawn Canyon Dr, Oklahoma City, OK 73162-6759 | 2018-03-20 |
| 1114468436 | Vanessa Boshuizen | Pediatrics | 12020 E 31st St, Tulsa, OK 74146-2001 | 2017-03-20 |
| 1255870820 | Caitlin Schaede | Pediatrics | 601 E 13th St Ste A, Grove, OK 74344-2962 | 2017-02-15 |
| 1407390115 | Empower Pediatrics | Pediatrics | 9659 Riverside Pkwy, Tulsa, OK 74137-7398 | 2016-12-14 |
| 1528417409 | Valley Family Clinic Inc | Pediatrics | 106 Burr Ave, Pauls Valley, OK 73075-3848 | 2016-06-10 |
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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.