Mary A Berg (NPI# 1487724290, PAC ID# 5597923706) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1487724290 |
| PAC ID by PECOS | 5597923706 |
| Professional Enrollment ID | I20120220000605 |
| Full Name | Mary A Berg |
| Organization Legal Name | SPECTRUMCARE REHABILITATION MEDICAL |
| Address |
121 Sotoyome St Suite 201 Santa Rosa CA 95405-4822 |
| Phone Number | 7073083101 |
| Gender | F |
| Medical School | HOWARD UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 1986 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 2769450873 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050174 | SANTA ROSA MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 121 Sotoyome St, Suite 201, Santa Rosa, CA 95405-4822 | 7073083101 | SPECTRUMCARE REHABILITATION MEDICAL |
| 52 Mission Cir, Suite 121, Santa Rosa, CA 95409-5370 | 7073031712 | ST JOSEPH HERITAGE HEALTHCARE |
| 8911 Lakewood Dr, Suite 13, Windsor, CA 95492-7857 | 7073873910 | ST JOSEPH HERITAGE HEALTHCARE |
| Organization Legal Name | SPECTRUMCARE REHABILITATION MEDICAL |
| Physicians | 14 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel S Choi | Pain Management | Spectrumcare Rehabilitation Medical | 3176 Poipu Rd, Koloa, HI 96756-9521 |
| Kim A Bellows | Physician Assistant | Spectrumcare Rehabilitation Medical | 3434 Villa Ln, Suite 150, Napa, CA 94558-6449 |
| Leland R Raymond | General Surgery | Spectrumcare Rehabilitation Medical | 3417 Valle Verde Dr, Napa, CA 94558-2414 |
| Kimberly B Schwartz | Nurse Practitioner | Spectrumcare Rehabilitation Medical | 3434 Villa Ln, Suite 150, Napa, CA 94558-6449 |
| Ramesh M Singa | Pain Management | Spectrumcare Rehabilitation Medical | 3434 Villa Ln, Suite 150, Napa, CA 94558-6449 |
| Gail Luanne Mcglothlen | Certified Clinical Nurse Specialist (cns) | Spectrumcare Rehabilitation Medical | 3434 Villa Ln, Suite 150, Napa, CA 94558-6449 |
| Meghan K Damelio | Nurse Practitioner | Spectrumcare Rehabilitation Medical | 3176 Poipu Rd, Koloa, HI 96756-9521 |
| Avinash N Ramchandani | Pain Management | Spectrumcare Rehabilitation Medical | 121 Sotoyome St, Suite 201, Santa Rosa, CA 95405-4822 |
| David C Miller | Pain Management | Spectrumcare Rehabilitation Medical | 3434 Villa Ln, Suite 150, Napa, CA 94558-6449 |
| Scott C Berta | Pain Management | Spectrumcare Rehabilitation Medical | 3434 Villa Ln, Suite 150, Napa, CA 94558-6449 |
| Street Address |
121 SOTOYOME ST SUITE 201 |
| City | SANTA ROSA |
| State | CA |
| Zip | 95405-4822 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gary Roper | Diagnostic Radiology | Redwood Radiology Group Inc | 121 Sotoyome St, Santa Rosa, CA 95405-4871 |
| Paul Doey Mcadams | Urology | St Joseph Heritage Healthcare | 121 Sotoyome St, Suite 203, Santa Rosa, CA 95405-4822 |
| David H Schmidt | Diagnostic Radiology | Redwood Radiology Group Inc | 121 Sotoyome St, Santa Rosa, CA 95405-4871 |
| Shawn P Daly | Diagnostic Radiology | Redwood Radiology Group Inc | 121 Sotoyome St, Santa Rosa, CA 95405-4871 |
| John J Mcgovern | Diagnostic Radiology | Redwood Radiology Group Inc | 121 Sotoyome St, Santa Rosa, CA 95405-4871 |
| Alexander R Page | Interventional Radiology | Redwood Radiology Group Inc | 121 Sotoyome St, Santa Rosa, CA 95405-4871 |
| Kathleen A Mott | Nurse Practitioner | St Joseph Heritage Healthcare | 121 Sotoyome St, Santa Rosa, CA 95405-4823 |
| Brett J Schulte | General Surgery | St Joseph Heritage Healthcare | 121 Sotoyome St, Santa Rosa, CA 95405-4823 |
| Adam G Kaplan | Urology | St Joseph Heritage Healthcare | 121 Sotoyome St, Santa Rosa, CA 95405-4823 |
| William Peter Meseroll | Diagnostic Radiology | Redwood Radiology Group Inc | 121 Sotoyome St, Santa Rosa, CA 95405-4871 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Larry Marianella | Internal Medicine | 1515 Montgomery Dr, Santa Rosa, CA 95405-4500 | |
| Jean Claude Bassila | Nephrology | 435 Doyle Park Dr, Santa Rosa, CA 95405-4515 | |
| Michael G Carlston | Family Medicine | 427 Doyle Park Dr, Santa Rosa, CA 95405-4515 | |
| Stephen Lee | Nephrology | Santa Rosa Kidney Care PC | 435 Doyle Park Dr, Santa Rosa, CA 95405-4515 |
| Eric Schmidt | Orthopedic Surgery | 525 Doyle Park Dr, Suite 101, Santa Rosa, CA 95405-4516 | |
| Marc E Thorne | Physician Assistant | Eric S Schmidt, Md, Inc | 525 Doyle Park Dr, Santa Rosa, CA 95405-4516 |
| Tomas Vasiliauskas | Cardiovascular Disease (cardiology) | St Joseph Heritage Healthcare | 500 Doyle Park Dr, Santa Rosa, CA 95405-4555 |
| Priscilla T Ngo | Nurse Practitioner | St Joseph Heritage Healthcare | 500 Doyle Park Dr, Suite 303, Santa Rosa, CA 95405-4555 |
| Jaya R Mallidi | Cardiovascular Disease (cardiology) | St Joseph Heritage Healthcare | 500 Doyle Park Dr, Suite G05, Santa Rosa, CA 95405-4555 |
| Marlon C Decastro | Internal Medicine | St Joseph Heritage Healthcare | 500 Doyle Park Dr, Suite 303, Santa Rosa, CA 95405-4555 |
| Find all physicians in zip 95405 | |||
| City | SANTA ROSA |
| Zip Code | 95405 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | SANTA ROSA + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Mary A Berg.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.