THOMAS MARK BERTAGNOLI


Address: Raf Lakenheath 48mdg, Unit 5115, Apo, AE 09461
Phone: 0112268408

THOMAS MARK BERTAGNOLI (NPI# 1912394776) 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) 1912394776
Entity Type Individual
Full Name THOMAS MARK BERTAGNOLI
Credential D.O.
Practice Address Raf Lakenheath 48mdg
Unit 5115
Apo
AE 09461
Mailing Address Raf Lakenheath 48 Mdg/sghc
Unit 5115
Apo
AE 09461-5115
Practice Telephone 0112268408
Enumeration Date 2015-04-20
Last Update Date 2019-07-16
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208000000X Pediatrics 1611 NE Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
Raf Lakenheath 48mdg, Unit 5115, Apo, AE 09461 0112268408

Office Location

Street Address RAF LAKENHEATH 48MDG
UNIT 5115
City APO
State AE
Zip Code 09461

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205387081 Joshua Gratz Military Health Care Provider 48mdh/sghc Unit 5115, Apo, AE 09461 2016-10-17
1376710780 Katherine Jane Waggner Pharmacist Raf Lakenheath - Pharmacy, Apo, AE 09461 2008-05-14
1356539985 Erin Campbell Bott Physical Therapist 48 Mdg Unit5210, Box 230, Apo, AE 09461 2007-10-09
1831249614 Shannon Stewart Enold Social Worker 48 Mdg Sgohf, Unit 5210 Box 230, Apo, AE 09461 2007-01-12
1073674008 Elizabeth Fort Copeland Social Worker Raf Lakenheath 48mdg/sghc, Unit 5115, Apo, AE 09461 2006-12-13
1104995109 Robert Brown Woolley Internal Medicine Raf Lakenheath 48 Mdg/sghc Unit 5115, Apo, AE 09461 2006-11-06
1679592299 Katheryn Willingham Ellis Registered Nurse 48 Mdg Sgobp, Unit 5210 Box 230, Apo, AE 09461 2006-07-18
1306885215 Przemyslaw Konrad Niemczura Dietitian, Registered 48 Medical Group, Unit 5210, Apo, AE 09461 2006-06-06
1760450746 Kathleen King Dobbs Nurse Practitioner 48 Mdg Unit 5210, Box 230, Apo, AE 09461 2006-03-08
1194796573 Renee Spitzer Family Medicine 48th Medical Group, Unit 5210 Box 230, Apo, AE 09461 2006-02-01
Find all providers in zip 09461

Taxonomy Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508250937 Joan Choi Pediatrics Brian Allgood Community Hospital, Unit 15543, Apo, AP 96205 2015-03-24
1538597901 Rira Kim Pediatrics Baach, Pediatrics, Unit 15244 Bldg 7005, Box#818, Apo, AP 96205 2013-10-23
1255565289 Javier Alberto Padial Pediatrics 194 Missle Ave., Minot Afb, Apo, AA 58705 2009-05-05
1831340504 Tiffany Rene Simpson Pediatrics 52 Nd Medical Group, Unit 3690, Apo, AE 09126-3690 2008-09-30
1063692135 Eric C Parkinson Pediatrics 35 Mdg Building 99, Apo, AP 96319 2007-11-06
1699838805 David J Eigner Pediatrics Hhc 121 Combat Support Hospital, Box #665, Apo, AP 96205 2006-12-18
1033168208 Steven Jai Novek Pediatrics Cmr 427, Box 850, Apo, AE 09630 2006-05-08
1932170891 Hilary Murnane Stamp Pediatrics Raf Lakenheath 48 Mdg, Unit 5115, Apo, AE 09461-5115 2006-01-30
1376514398 Lee David Williames Pediatrics 31 Mdos/sgor, Unit 6180 Box 245, Apo, AE 09604-0245 2006-01-28
1811968027 Saro Verghese Pediatrics Lrmc, Cmr -402, Box 1767, Apo, AE 09180 2006-01-27
Find all providers in APO

Competitor

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City APO
Zip Code 09461

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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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