TRACY A BERG M.D., P.S. (NPI# 1952527111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952527111 |
| Entity Type | Organization |
| Organization Name | TRACY A BERG M.D., P.S. |
| Practice Address |
235 E Rowan Ave Suite 204 Spokane WA 99207-1240 |
| Practice Telephone | 5093443100 |
| Practice Fax Number | 5093443104 |
| Mailing Telephone | 5093443100 |
| Mailing Fax Number | 5093443104 |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2012-01-13 |
| Authorized Official Name | DR. TRACY A BERG (OWNER/PRESIDENT) |
| Authorized Official Telephone | 5093443100 |
| Authorized Official Credential | M.D., P.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | MD000032615 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1123884 | 05 |
| Street Address |
235 E ROWAN AVE SUITE 204 |
| City | SPOKANE |
| State | WA |
| Zip Code | 99207-1240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750385209 | Lynn Dee Derby | Plastic Surgery | 235 E Rowan Ave, Ste 206, Spokane, WA 99207-1240 | 2005-06-10 |
| 1225454267 | Tracy L. Stack | Nurse Practitioner | 235 E Rowan Ave, Suite 102, Spokane, WA 99207-1240 | 2014-03-14 |
| 1154594794 | Edwin Y Chang Md Pllc | Plastic Surgery | 235 E Rowan Ave, Ste 206, Spokane, WA 99207-1240 | 2008-04-03 |
| 1851577696 | Norman J James | Surgery | 235 E Rowan Ave, Suite 116, Spokane, WA 99207-1240 | 2008-01-10 |
| 1437330735 | North Spokane Gynecology and Cosmetic Laser PC | Specialist | 235 E Rowan Ave, Suite 109, Spokane, WA 99207-1240 | 2007-11-15 |
| 1467645820 | Spokane Urology, P.s. | Urology | 235 E Rowan Ave, Suite 202, Spokane, WA 99207-1240 | 2007-08-20 |
| 1801088661 | Spokane Urology, P.s. | Urology | 235 E Rowan Ave, Suite 202, Spokane, WA 99207-1240 | 2007-08-15 |
| 1992825426 | Optical Elegance,inc | Eyewear Supplier (Equipment, not the service) | 235 E Rowan Ave, Suite 100, Spokane, WA 99207-1240 | 2007-03-29 |
| 1164578340 | Norman J James Md Ps | Surgery | 235 E Rowan Ave, Suite 116, Spokane, WA 99207-1240 | 2007-01-28 |
| 1700997657 | Debra Marie Giuttari-andersen | Nurse Practitioner | 235 E Rowan Ave, Suite 102, Spokane, WA 99207-1240 | 2006-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437669231 | Rebecca Althouse | Massage Therapist | 59 E. Queen Ave. Suite 104, Spokane, WA 99207 | 2017-10-05 |
| 1891142105 | Kathleen Annette Love | Counselor | 2702 N. Perry, Spokane, WA 99207 | 2016-05-17 |
| 1184094831 | Rachel Robles | Massage Therapist | 514 E. Providence Ave, Spokane, WA 99207 | 2015-10-06 |
| 1114345022 | Lindsay Urso | Physician Assistant | 4001 N. Cook St, Riverstone Family Health, Spokane, WA 99207 | 2014-03-29 |
| 1780936930 | Amber Elizabeth Riemersma | Midwife | 127 E Eculid, Spokane, WA 99207 | 2012-10-12 |
| 1376816108 | Michelle Christine Rees | Massage Therapist | 1504 E. Everett, Spokane, WA 99207 | 2012-02-09 |
| 1750658241 | Zita Lindell Nickeson | Counselor | 4407 N. Division Suite 304, Spokane, WA 99207 | 2011-11-28 |
| 1912282989 | Carolyn C Millen | Pharmacist | 12 E. Empire Ave, Spokane, WA 99207 | 2011-10-20 |
| 1316222730 | Brooke Pickering | Pharmacist | 12 E Empire, Spokane, WA 99207 | 2011-10-17 |
| 1891001277 | Providence Physician Services Co | Pediatrics | 5901 N Linderwood, Suite 126, Spokane, WA 99207 | 2010-08-24 |
| Find all providers in zip 99207 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700101474 | Robert Douglas Andres | Surgery | 4815 N Assembly (112) Mann-grandstaff Va Medical Center, Spokane, WA 99205 | 2010-04-06 |
| 1992947634 | Jarod Mcateer | Surgery | 101 W 8th Ave Ste 100l-1, Spokane, WA 99204-2307 | 2009-03-26 |
| 1154494532 | Suzan Entwistle Marshall | Surgery | 716 W 24th Ave, Spokane, WA 99203-1928 | 2006-11-15 |
| 1891742664 | Jonathan Matthew Nickoloff | Surgery | 9922 N Nevada St, Spokane, WA 99218-1126 | 2006-05-27 |
| 1154301281 | Kevin Robert Kerrigan | Surgery | 7918 N Bluecoat Ct, Spokane, WA 99208-5630 | 2006-01-17 |
| 1326024092 | Frederick Paul French | Surgery | 217 W Cataldo Ave, Spokane, WA 99201-2217 | 2005-12-15 |
| 1225691090 | Geoffrey Stiller Md Ps | Surgery | 805 W 5th Ave Ste 619, Spokane, WA 99204-2802 | 2019-04-17 |
| 1760758189 | Daniel Gilsdorf | Surgery | 217 W Cataldo Ave, Spokane, WA 99201-2217 | 2012-03-29 |
| 1174801328 | Kai Linsay Sharbono | Surgery | 217 W Cataldo, Spokane, WA 99201-2217 | 2011-07-21 |
| 1952691354 | David Michael Brown | Surgery | 217 W Cataldo Ave, Spokane, WA 99201-2217 | 2011-04-19 |
| Find all providers in SPOKANE | ||||
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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.