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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208000000X | Pediatrics | 1611 | NE | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
Raf Lakenheath 48mdg, Unit 5115, Apo, AE 09461 | 0112268408 |
Street Address |
RAF LAKENHEATH 48MDG UNIT 5115 |
City | APO |
State | AE |
Zip Code | 09461 |
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 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 |
---|---|---|---|---|
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 |
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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.