DR. DAVID J BERG (NPI# 1912979915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912979915 |
| Entity Type | Individual |
| Full Name | DR. DAVID J BERG |
| Credential | D.O. |
| Practice Address |
19829 N 27th Ave Phoenix AZ 85027-4001 |
| Mailing Address |
Po Box 27340 Phoenix AZ 85061-7340 |
| Practice Telephone | 6238795720 |
| Mailing Telephone | 6029439200 |
| Mailing Fax Number | 6022163000 |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2008-05-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
1529 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 285602 | 05 | |
| AZ | MEDI-CAL MEDICAID | XTE004910 | 01 |
| AZ | HEALTH NET OF ARIZONA | 1Z7086 | 01 |
| AZ | BCBSAZ | AZ0221810 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891747739 | David Berg | Physician Assistant | 4295 Hempstead Turnpike, Er Dept Island Medical Physicians, Beth Page, NY 11714 | 2006-05-17 |
| 1578534681 | David S Berg | Psychologist | 40 Woodale Rd, Philadelphia, PA 19118-3430 | 2006-01-27 |
| 1619970589 | David Christian Berg | Orthopaedic Surgery | 3334 Capital Medical Blvd, Ste. 400, Tallahassee, FL 32308-8405 | 2005-05-24 |
| 1992162382 | David Bryon Berg | Counselor | 2499 Rice St, Suite 201, Roseville, MN 55113-3724 | 2016-01-15 |
| 1700228616 | David Curtis Berg | Pharmacist | 4890 N High St, Columbus, OH 43214-1552 | 2013-07-19 |
| 1932441706 | David Berg | Internal Medicine | 102 E Lake Mead Pkwy, Henderson, NV 89015-5575 | 2013-03-20 |
| 1255625471 | David Douglas Berg | Internal Medicine | 75 Francis St, Boston, MA 02115-6110 | 2011-06-06 |
| 1124286604 | David Adam Berg | Surgery | 120 White Horse Pike, Suite 103, Haddon Heights, NJ 08035-1938 | 2008-05-30 |
| 1154531549 | David Alan Berg | Social Worker | N15019 Hannahville B1 Rd, Wilson, MI 49896 | 2007-05-23 |
| 1629116629 | David Timothy Berg | Neuromusculoskeletal Medicine, Sports Medicine | 3600 30th St, Des Moines, IA 50310-5753 | 2007-02-02 |
| Street Address |
19829 N 27TH AVE |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85027-4001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295716868 | Julie Hessler | Pediatrics | 19829 N 27th Ave, Phoenix, AZ 85027-4001 | 2005-11-09 |
| 1427657238 | Kevin C Smith | Pharmacist | 19829 N 27th Ave, Phoenix, AZ 85027-4001 | 2020-10-22 |
| 1265031108 | Maricopa Surgical Assist | Physician Assistant | 19829 N 27th Ave, Phoenix, AZ 85027-4001 | 2020-10-21 |
| 1174144885 | Marjan Ashtiani | Nurse Practitioner | 19829 N 27th Ave, Phoenix, AZ 85027-4001 | 2020-05-04 |
| 1104477835 | Liudmila Tamarchina | Nurse Practitioner | 19829 N 27th Ave, Phoenix, AZ 85027-4001 | 2019-09-24 |
| 1922657121 | Tiffany Jean Colorado | Nurse Practitioner | 19829 N 27th Ave, Phoenix, AZ 85027-4001 | 2019-09-10 |
| 1780233387 | Lee Louis Cavellini | Occupational Therapist | 19829 N 27th Ave, Phoenix, AZ 85027-4001 | 2019-09-05 |
| 1841843497 | Khanh Thi Le | Nurse Practitioner | 19829 N 27th Ave, Phoenix, AZ 85027-4001 | 2019-07-23 |
| 1093294878 | Dawn Nicole Nichols | Registered Nurse | 19829 N 27th Ave, Phoenix, AZ 85027-4001 | 2018-08-12 |
| 1841782265 | Diana Olivera | Registered Nurse | 19829 N 27th Ave, Phoenix, AZ 85027 | 2018-06-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891306312 | Ashley Nicole Felipe | Registered Nurse | 25700 N 21st Ave, Phoenix, AZ 85027 | 2020-08-10 |
| 1942784376 | Crystal Rodriguez | Dentist | 2550 W Union Hills Dr Ste 201, Phoenix, AZ 85027 | 2018-09-21 |
| 1790284776 | Lydia Kuuipo Chong | Nurse Practitioner | 20414 N 27th Ave #300, Phoenix, AZ 85027 | 2018-02-06 |
| 1457867004 | Kristi Marie Mathews | Nurse Practitioner | 19829 N 29th Avenue, Phoenix, AZ 85027 | 2017-12-19 |
| 1710348362 | The Empower House, LLC | Community Based Residential Treatment Facility, Mental Illness | 18631 N. 19th Ave., Suite 158-305, Phoenix, AZ 85027 | 2016-03-10 |
| 1972979656 | Dr Daniel H Yohannes D.d.s., PC | Dentist | 602 W. Union Hills Dr, #8, Phoenix, AZ 85027 | 2015-08-17 |
| 1013346857 | Dentistry At 35th Avenu | Dentist | 18635 N 35th Avenue, Phoenix, AZ 85027 | 2013-11-02 |
| 1437592102 | Ammar Alobaidy | Psychiatry & Neurology | 21410 N 19th Ave Ste 151, Phoenix, AZ 85027 | 2013-04-12 |
| 1588900021 | Jill Elizabeth Maroscia | Social Worker | 19636 N 27th Ave #106, Phoenix, AZ 85027 | 2013-01-02 |
| 1124394515 | Sfjg Holdings LLC | Dentist | 3414 W. Union Hills Dr, Suite 12 & 14, Phoenix, AZ 85027 | 2012-03-29 |
| Find all providers in zip 85027 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598243867 | Mdig of Florida, LLC | Radiology | 10835 N 25th Ave Ste 140, Phoenix, AZ 85029-3408 | 2018-07-30 |
| 1265974836 | Teleradiology Specialists LLC | Radiology | 4813 E Piccadilly Rd, Phoenix, AZ 85018-5540 | 2016-11-13 |
| 1447630140 | Mohamad Nass | Radiology | 34718 N 24th Ave, Phoenix, AZ 85086-6605 | 2015-06-08 |
| 1659703304 | Tesla Imaging and Medical | Radiology | 43817 Nth 50th Dr, Phoenix, AZ 85087 | 2013-08-05 |
| 1962748574 | Alysha Keren Vartevan | Radiology | 4130 E Van Buren St Ste 100, Phoenix, AZ 85008-6996 | 2012-12-31 |
| 1003177767 | Donald A Tobias | Radiology | 97 Biltmore Est, Phoenix, AZ 85016-2820 | 2012-05-30 |
| 1518279660 | Nicholas Bhojwani | Radiology | 2625 East Camelback Road, Unit 261, Phoenix, AZ 85016 | 2010-07-06 |
| 1437471323 | Smi Imaging, LLC | Radiology | 13838 S 46th Pl Ste 200, Phoenix, AZ 85044-7803 | 2010-02-19 |
| 1891928107 | Smi Imaging, LLC | Radiology | 20414 N 27th Ave Ste 150, Phoenix, AZ 85027-3246 | 2009-09-02 |
| 1396978250 | North Mountain Imaging Specialists, LLC | Radiology | 2500 N. Utopia Road, Suite 100, Phoenix, AZ 85027 | 2009-08-26 |
| Find all providers in PHOENIX | ||||
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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.