EDWARD W. BERRY MD PC (NPI# 1912111006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912111006 |
| Entity Type | Organization |
| Organization Name | EDWARD W. BERRY MD PC |
| Practice Address |
4403 Harrison Blvd Ste 3680 Ogden UT 84403-3289 |
| Mailing Address |
1652 Wildcat Ln # 1 Ogden UT 84403-3236 |
| Practice Telephone | 8013873900 |
| Mailing Telephone | 8013932249 |
| Mailing Fax Number | 8013939909 |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2008-04-28 |
| Authorized Official Name | DR. EDWARD W BERRY (PRESIDENT) |
| Authorized Official Telephone | 8013873900 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | 498622472004 | 05 |
| Street Address |
4403 HARRISON BLVD STE 3680 |
| City | OGDEN |
| State | UT |
| Zip Code | 84403-3289 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639230089 | Edward Berry | Anesthesiology | 4403 Harrison Blvd Ste 3680, Ogden, UT 84403-3289 | 2006-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235744632 | Megan Louise Larkins | Specialist/Technologist | 4000 Brinker Ave. The Apartments., Apartment 15, Ogden, UT 84403 | 2020-09-11 |
| 1154959062 | Joshua Clifford Hansen | Student in an Organized Health Care Education/Training Program | 4403 Harrison Boulevard, Ste A700, Ogden, UT 84403 | 2020-03-28 |
| 1346895935 | Positional Release Therapy Institute LLC | Specialist/Technologist | 1702 E. 5600 S., Ogden, UT 84403 | 2019-08-09 |
| 1841842077 | Braken Wooden | Chiropractor | 1893 Skyline Dr., Suite 204, South Ogden, UT 84403 | 2019-07-09 |
| 1023670569 | Wasatch Advanced Dental Care LLC | Dentist | 3590 Harrison Blvd Suite #1, Ogden, UT 84403 | 2019-07-05 |
| 1194237636 | Marci Niemeyer | Physician Assistant | 5929 Fashion Point Dr Ste 101, South Ogden, UT 84403 | 2017-10-24 |
| 1578081949 | Stephanie Jensen | Specialist/Technologist | 1473 36th Street, Ogden, UT 84403 | 2017-09-06 |
| 1891213385 | Forrest Sutherland | Specialist/Technologist | 1075 E 41st St., Ogden, UT 84403 | 2017-09-05 |
| 1184159022 | Nicole Lee Van Tassell | In Home Supportive Care | 1496 East 5600 South, Unit 6, Ogden, UT 84403 | 2017-04-28 |
| 1265889166 | Modern Dental Professionals Ut, PC | Dentist | 5974 S. Fashion Pointe Drive, Suite 210, South Ogden, UT 84403 | 2016-05-20 |
| Find all providers in zip 84403 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730509647 | Shannon Iseminger | Specialist | 3536 Fowler Ave, Ogden, UT 84403-1123 | 2014-04-17 |
| 1487946554 | Gary O. Christensen M.d. A Professional Corporation | Specialist | 6028 S Ridgeline Dr Ste 201a, Ogden, UT 84405-6909 | 2011-05-09 |
| 1104000132 | Navin K Varma Md PC | Specialist | 1452 E Ridgeline Dr Ste 151, Ogden, UT 84405 | 2007-12-27 |
| 1710192034 | Mountain View Orthopedics and Sports Medicine LLC | Specialist | 1486 E Skyline Dr, Ste 202, Ogden, UT 84405-4863 | 2007-05-11 |
| 1477686582 | Drake Glen Vincent | Specialist | 1710 E 5600 S, Ogden, UT 84403-4384 | 2007-03-14 |
| 1487672986 | David More Allen | Specialist | 3860 Jackson Ave, Ste 2, Ogden, UT 84403-1997 | 2006-07-17 |
| 1487687430 | Intermountain Skin Cancer & Esthetics Center PC | Specialist | 3860 Jackson Ave Ste 2, Ogden, UT 84403-1997 | 2006-07-09 |
| 1134121148 | Brian Keith Brzowski | Specialist | 1525 E 6000 S, Suite C, Ogden, UT 84405-7144 | 2005-08-10 |
| 1487652632 | Terry D Clawson | Specialist | 3955 Harrison Blvd, Suite U7, Ogden, UT 84403-2313 | 2005-07-12 |
| 1235515453 | Skyline Plastic and Hand Surgery LLC | Specialist | 6112 S 1550 E, Suite 102, Ogden, UT 84405-5007 | 2015-08-11 |
| Find all providers in OGDEN | ||||
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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.