SUSAN E. BERG (NPI# 1972506202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972506202 |
| Entity Type | Individual |
| Full Name | SUSAN E. BERG |
| Credential | A.R.N.P. |
| Practice Address |
25647 Redwood Hwy Cave Junction OR 97523-9332 |
| Mailing Address |
1701 Nw Hawthorne Ave Suite 201 Grants Pass OR 97526-1257 |
| Practice Telephone | 5415924111 |
| Practice Fax Number | 5415923916 |
| Mailing Telephone | 5414713455 |
| Mailing Fax Number | 5414711439 |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2014-01-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364S00000X | Clinical Nurse Specialist | AP30006914 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548746308 | Susan Marie Berg | Physician Assistant | 1411 Mn-79, Elbow Lake, MN 56531 | 2018-07-16 |
| 1871001149 | Susan Ruth Berg | Occupational Therapist | 3223 Lemmon Ave Apt 4129, Dallas, TX 75204-1855 | 2018-01-19 |
| 1851636161 | Susan Berg | Counselor | 662 N New Ballas Rd, Creve Coeur, MO 63141-6737 | 2012-11-28 |
| 1053449371 | Susan H. Berg | Social Worker | 105 Whittier Pl, Port Jefferson, NY 11777-1619 | 2007-02-28 |
| 1205924743 | Susan R. Berg | Marriage & Family Therapist | 315 E Cotati Ave Ste G, Cotati, CA 94931-7801 | 2006-10-10 |
| 1043219736 | Susan Berg | Family Medicine | 311 W. Fairchild, Danville, IL 61832-3876 | 2005-07-15 |
| 1164084778 | Susan Z Berg | Genetic Counselor, MS | One Medical Center Drive, Dartmouth Hitchcock Medical Center, Lebanon, NH 03756 | 2019-07-03 |
| 1730201963 | Susan E Berg | Speech-Language Pathologist | 2565 Elmwood Ave, Kenmore, NY 14217-1939 | 2007-04-06 |
| 1457473936 | Susan Marie Berg | Pharmacist | 2300 N Childrens Plz, Children's Memorial Hospital, Chicago, IL 60614-3363 | 2007-04-04 |
| 1639210412 | Susan L. Berg | Nurse Practitioner | 1229 E Seminole St, Springfield, MO 65804-2227 | 2007-02-12 |
| Street Address |
25647 REDWOOD HWY |
| City | CAVE JUNCTION |
| State | OR |
| Zip Code | 97523-9332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427404094 | Siskiyou Community Health Center Pharmacy | Pharmacy | 25647 Redwood Hwy, Cave Junction, OR 97523-9332 | 2016-05-12 |
| 1316304652 | Kristi Ibarra | Registered Nurse | 25647 Redwood Hwy, Cave Junction, OR 97523 | 2016-01-18 |
| 1396141255 | Siskiyou Community Health Center Pharmacy | Pharmacy | 25647 Redwood Hwy, Cave Junction, OR 97523-9332 | 2014-11-05 |
| 1023362894 | Barbara Jo Franklin | Nurse Practitioner | 25647 Redwood Hwy, Cave Junction, OR 97523-9332 | 2012-11-01 |
| 1972896389 | Natalie Laubscher | Pharmacist | 25647 Redwood Hwy, Cave Junction, OR 97523-9332 | 2011-05-18 |
| 1992098362 | Brian Sydney Laubscher | Pharmacist | 25647 Redwood Hwy, Cave Junction, OR 97523-9332 | 2011-05-18 |
| 1275852212 | Larry Bates | Counselor | 25647 Redwood Hwy, Cave Junction, OR 97523-9332 | 2010-05-28 |
| 1669638417 | Siskiyou Community Health Center, Inc. | Clinic/Center | 25647 Redwood Hwy, Cave Junction, OR 97531-9724 | 2008-07-31 |
| 1700062510 | Siskiyou Community Health Center, Inc. | Clinic/Center | 25647 Redwood Hwy, Cave Junction, OR 97531-9724 | 2008-01-11 |
| 1356472161 | Michael George Pruner | Nurse Practitioner | 25647 Redwood Hwy, Cave Junction, OR 97523-9332 | 2007-03-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083161608 | Donato and Wood Consulting | Physical Therapist | 218 Redwood Hwy, Cave Junction, OR 97523 | 2016-09-01 |
| 1366871519 | Coastal Pharmacies, LLC | Pharmacy | 308b S Redwood Hwy, Cave Junction, OR 97523 | 2013-11-08 |
| 1548497688 | Patricia Lynn Jenkins | Registered Nurse | 28186 Redwood Highway, Cave Junction, OR 97523 | 2009-06-16 |
| 1386786309 | Eye Care Group of Southern Oregon, P.C. | Optometrist | 335 Caves Highway, Cave Junction, OR 97523 | 2007-02-13 |
| 1578631461 | Steve Mock | Dentist | 315 - B Caves Highway, Cave Junction, OR 97523 | 2006-12-01 |
| 1114092079 | Joya H Feltzin | Nurse Practitioner | 625 E River Street, Illinois Valley High School Student Health Center, Cave Junction, OR 97523 | 2006-11-22 |
| 1316039787 | Elements of Health & Wellness, Inc. | Chiropractor | 202 W. Lister St, Cave Junction, OR 97523 | 2006-09-29 |
| 1861628281 | Chiropractic Wellness Center LLC | Chiropractor | 202 W. Lister St, Cave Junction, OR 97523 | 2009-06-01 |
| 1033344494 | James A Minervini | Chiropractor | 202 W. Lister St, Cave Junction, OR 97523 | 2009-05-28 |
| 1881775989 | John Larry Patton | Dentist | 315 Caves Hwy, Cave Junction, OR 97523-0610 | 2006-10-17 |
| Find all providers in zip 97523 | ||||
| Taxonomy Code | 364S00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. |
| Notes: Sources: American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue and The Interagency Conference on Nursing Statistics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508212283 | Sodasavanh Joy Khamsoukthavong | Clinical Nurse Specialist | 501 N Graham St Ste 220, Portland, OR 97227-2014 | 2016-05-11 |
| 1235488651 | Claire M Yoshida | Clinical Nurse Specialist | 3181 Sw Sam Jackson Park Rd # L-586, Portland, OR 97239-3011 | 2012-08-30 |
| 1154631612 | Tracey Lee Loudon | Clinical Nurse Specialist | 32100 Se Chin St, Boring, OR 97009-9776 | 2010-10-18 |
| 1760954150 | Brenda Lynn Grossnickle | Clinical Nurse Specialist | 3710 Sw Us Veterans Hospital Rd, Portland, OR 97239-2964 | 2018-12-22 |
| 1053779801 | Tasha Nicole Searles | Clinical Nurse Specialist | 1040 Nw 22nd Ave, Suite 520, Portland, OR 97210-3057 | 2016-02-08 |
| 1376942052 | Mary Anne G Keane | Clinical Nurse Specialist | 2865 Daggett Ave, Klamath Falls, OR 97601-1106 | 2014-08-18 |
| 1407123219 | Kathleen Ann Fuglee | Clinical Nurse Specialist | 3710 Sw Us Veterans Hospital Road, Primary Care Room F 120, Portland, OR 97207-1034 | 2011-11-22 |
| 1437448537 | Joan Di Brogrozcio Kono | Clinical Nurse Specialist | 707 Sw Gaines St, Mail Code: Cdrc-p, Portland, OR 97239-2901 | 2011-03-30 |
| 1538462411 | Jodi Duke | Clinical Nurse Specialist | 3181 Sw Sam Jackson Park Rd, Uhs 8z, Portland, OR 97239-3011 | 2010-12-14 |
| 1063713733 | Mary Denise Smith | Clinical Nurse Specialist | 3181 Sw Sam Jackson Park Rd, Uhs-3, Portland, OR 97239-3011 | 2010-11-10 |
| Find all providers with the same taxonomy | ||||
| City | CAVE JUNCTION |
| Zip Code | 97523 |
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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.