MATTHEW BERG


Address: 17500 Se 392nd St, Auburn, WA 98092-9705
Phone: 2533333619

MATTHEW BERG (NPI# 1972964138) 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) 1972964138
Entity Type Individual
Full Name MATTHEW BERG
Credential PHARMD
Practice Address 17500 Se 392nd St
Auburn
WA 98092-9705
Practice Telephone 2533333619
Practice Fax Number 2533336853
Mailing Telephone 2533333619
Mailing Fax Number 2533336853
Enumeration Date 2016-03-16
Last Update Date 2016-03-16
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183500000X Pharmacist PH60303556 WA Pharmacy Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
WA WASHINGTON STATE DEPARTMENT OF HEALTH PH60303556 01

Other Providers MATTHEW BERG

NPI Name Taxonomy Address Enumeration
1861899270 Matthew Berg Specialist/Technologist 1988 S 1100 E Unit 506, Salt Lake City, UT 84106-4723 2014-12-01
1295395572 Matthew Berg Behavior Technician 1161 Lake Cook Rd, Deerfield, IL 60015-5649 2019-06-18
1518490903 Matthew Berg Case Management 841 Steubenville Ave., Cambridge, OH 43725 2017-04-04
1598199572 Matthew David Berg Physical Therapist 901 9th St N, Suite 100, Virginia, MN 55792-2325 2013-08-27
1265669618 Matthew Eric Berg Acupuncturist 291 Main St, Suite 3, Great Barrington, MA 01230-1608 2009-06-12
1710163126 Matthew Berg Dietitian, Registered 9961 Sierra Ave, Fontana, CA 92335-6720 2008-01-16
1679592141 Matthew Douglas Berg Dentist 2193 Silver Lake Rd Nw, New Brighton, MN 55112-5331 2006-07-18

Office Location

Street Address 17500 SE 392ND ST
City AUBURN
State WA
Zip Code 98092-9705

Providers in the same location

NPI Name Taxonomy Address Enumeration
1336137868 Catherine B Wilke Family Medicine 17500 Se 392nd St, Auburn, WA 98092-9705 2005-10-10
1306319926 Michele Cross Dental Hygienist 17500 Se 392nd St, Auburn, WA 98092-9705 2019-01-07
1245702109 Jamie Wood Dental Hygienist 17500 Se 392nd St, Auburn, WA 98092-9705 2018-12-17
1902323819 Muckleshoot Indian Tribe Home Health 17500 Se 392nd St, Auburn, WA 98092-9705 2017-08-23
1528585346 Deborah Lin Hagan Registered Nurse 17500 Se 392nd St, Auburn, WA 98092-9705 2017-08-23
1689102485 Jarrett Evan Bruno Family Medicine 17500 Se 392nd St, Auburn, WA 98092-9705 2017-05-24
1598293466 Amy Louise Dais Massage Therapist 17500 Se 392nd St, Auburn, WA 98092-9705 2017-05-23
1578947586 Diana Tran Physician Assistant 17500 Se 392nd St, Auburn, WA 98092-9705 2015-07-20
1437539616 Amber Postma Family Medicine 17500 Se 392nd St, Auburn, WA 98092-9705 2015-06-03
1023430311 Bryan Shireman Dentist 17500 Se 392nd St, Auburn, WA 98092-9705 2014-01-06
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679127922 Washington Dental Corporation, PC Dentist 7084 Lakeland Hills Way, Suite 104, Auburn, WA 98092 2019-07-25
1659854784 Brady Glenn Christoph Physical Therapist Auburn School District, 29205 132nd Ave Se, Auburn, WA 98092 2018-09-14
1588110217 Elonna Alexanderovna Korolchuk Nurse's Aide 11223 Se 309th St, Auburn, WA 98092 2016-09-01
1053754416 Alex E Broady Counselor 17300 Se 392nd Street, Auburn, WA 98092 2013-04-16
1801154828 Aaron Soto Valencia Counselor 39101 180th Ave Se, Auburn, WA 98092 2012-04-27
1447467188 D Lyn Dyan Lee Massage Therapist 1408 Lake Tapps Parkway East, Suite E106, Auburn, WA 98092 2007-05-16
1497817415 Dale Allen Hansen Chiropractor 3321 Auburn Way South, Suite G, Auburn, WA 98092 2006-12-15
1922176874 Kimberly B Fisher Physical Therapist 1408 Lake Tapps Parkway E, Suite E106, Auburn, WA 98092 2006-11-30
1760575450 Roger Arthur Anderson Dentist 7125 224th Street Sw, Edmonds, WA 98092 2006-10-02
1053479907 Nancy Louise Johnson Physical Therapist 1408 Lake Tapps Parkway E, Suite E106, Auburn, WA 98092 2006-12-04
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Taxonomy Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy Definition

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417562703 Unaleesha Henry Pharmacist 776 Bridle Creek Way, Auburn, GA 30011-4656 2020-09-13
1730706557 Jenny Rose Calayag Pharmacist 28216 54th Ave S, Auburn, WA 98001-1928 2020-06-26
1114546132 Courtney Gunn Pharmacist 904 Andrews Ave, Auburn, AL 36832-6002 2020-04-09
1730719238 Jared Sibley Pharmacist 447 W Longleaf Dr Apt 1215, Auburn, AL 36832-7416 2020-01-23
1982254934 Anne Wyant Saunders Pharmacist 501 Webster Rd Lot 11, Auburn, AL 36832-4211 2019-09-11
1992365852 Darby Reynolds Norris Pharmacist 2047 E. University Dr., Auburn, AL 36830-3336 2019-06-13
1578128302 Jacqueline Lacey Nash Pharmacist 1550 Pumphrey Ave, Auburn, AL 36832-4302 2019-05-07
1790213866 Amy Morton Dean Pharmacist 717 Queens, Auburn, AL 36830 2017-06-01
1881138428 Kristina M Wimpee Pharmacist 134 Sugar Maple Drive, Suite A, Auburn, KY 42206 2016-12-16
1255781480 Lucia C Carter Pharmacist 359 Shell Toomer Pkwy, Auburn, AL 36830-6951 2016-06-19
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Competitor

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City AUBURN
Zip Code 98092

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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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