LISBETH K BERGE (NPI# 1992773691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992773691 |
| Entity Type | Individual |
| Full Name | LISBETH K BERGE |
| Credential | MD |
| Practice Address |
3801 University Way Dr. Suite 301 Anchorage AK 99508 |
| Mailing Address |
3801 University Lake Dr Ste 301 Anchorage AK 99508-4658 |
| Practice Telephone | 9077771850 |
| Practice Fax Number | 9077771800 |
| Mailing Telephone | 9077771850 |
| Mailing Fax Number | 8554681357 |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2019-10-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 3927 | AK | Allopathic & Osteopathic Physicians |
| Y | 208D00000X | General Practice | 3927 | AK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | MCARE | 152556 | 01 |
| AK | MD03282 | 05 | |
| AK | AK STATE MEDICAL LICENSE | 3927 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2211 E Northern Lights Blvd, Anchorage, AK 995084129 | 9072798486 | 9072578184 |
| Street Address |
3801 UNIVERSITY WAY DR. SUITE 301 |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366063349 | Alexandra L Davis | Student in an Organized Health Care Education/Training Program | 1202 E 36th Ave, Anchorage, AK 99508 | 2020-05-01 |
| 1366087108 | The Salvation Army, A California Corporation | Community/Behavioral Health | 3600 East 20th Avenue, Anchorage, AK 99508 | 2019-11-15 |
| 1679120349 | Kila Gilcart | Speech-Language Pathologist | 161 Klevin Street #103, Anchorage, AK 99508 | 2019-08-19 |
| 1326692963 | Shannon Maillet | Behavior Technician | 1650 S Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1427602044 | Frank Harris Lawson Iv | Behavior Technician | 1650 S. Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1104470723 | Vivalesi Seforosa Nair | Behavior Technician | 1650 South Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1043864267 | The Cozy Chalet Assisted Living Home LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3707 Mt Blanc Circle, Anchorage, AK 99508 | 2019-07-25 |
| 1942861778 | Christine Mary Hoover | Registered Nurse | Alaska Native Medical Center - Inpatient Pediatrics, 4315 Diplomacy Dr, Anchorage, AK 99508 | 2019-06-24 |
| 1215594502 | Ashley Ongtowasruk | Case Manager/Care Coordinator | 4441 Dipomacy Dr, Suite 500, Anchorage, AK 99508 | 2019-05-22 |
| 1659937019 | Rayne Johnson | Behavior Technician | 4000 San Ernesto Blvd, Anchorage, AK 99508 | 2019-05-11 |
| Find all providers in zip 99508 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801309042 | Online Care Group Alaska | General Practice | 200 W. 34th Ave, Anchorage, AK 99503 | 2017-11-09 |
| 1831580604 | Johnna L Kohl Md LLC | General Practice | 4001 Dale St Ste 201, Anchorage, AK 99508-5445 | 2015-02-13 |
| 1780072603 | Epoch - Alaska Limited Liability Company | General Practice | 3074 Mt. View Drive, Suite 193, Anchorage, AK 99501 | 2014-12-30 |
| 1356630867 | Thomas Walter Guziejewski | General Practice | 2110 E Northern Lights Blvd Ste 101, Anchorage, AK 99508-4154 | 2011-04-05 |
| 1174828008 | Jean Colesberry Persons | General Practice | 1546 Coffey Lane, Anchorage, AK 99501 | 2011-01-25 |
| 1508066820 | Brian Weston Piltz | General Practice | 1717 C St, Anchorage, AK 99507 | 2007-07-24 |
| 1316158678 | Arthur Dewey Tilgner | General Practice | 5011 Spenard Rd, Anchorage, AK 99517-3401 | 2007-05-25 |
| 1306990312 | Jean Milner Eaton | General Practice | 8700 E Klatt Rd, Anchorage, AK 99507-6343 | 2007-01-23 |
| 1134229495 | Thomas Gilman Lang | General Practice | 741 Sesame St, 1-b, Anchorage, AK 95503-6657 | 2006-09-25 |
| 1285602508 | Douglas C Smith | General Practice | 2900 Providence Dr, Anchorage, AK 99508-5756 | 2006-03-11 |
| Find all providers in ANCHORAGE | ||||
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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.