Richard E Berg (NPI# 1770526840, PAC ID# 7416985924) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1770526840 |
| PAC ID by PECOS | 7416985924 |
| Professional Enrollment ID | I20060302000335 |
| Full Name | Richard E Berg |
| Organization Legal Name | OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC |
| Address |
39 E Main St Hancock NY 13783-1128 |
| Phone Number | 6076375700 |
| Gender | M |
| Credential | DO |
| Medical School | PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1990 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 1254237779 |
| Number of Group Practice Members | 238 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330011 | LOURDES HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 39 E Main St, Hancock, NY 13783-1128 | 6076375700 | OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC |
| Organization Legal Name | OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC |
| Physicians | 246 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mindy R Dunn | Nurse Practitioner | Our Lady of Lourdes Memorial Hospital, Inc | 13293 State Route 38, Richford, NY 13835-1115 |
| Joseph W Romani | Podiatry | Our Lady of Lourdes Memorial Hospital, Inc | 303 Main St, Binghamton, NY 13905-2579 |
| Emir Hodzic | Family Medicine | Our Lady of Lourdes Memorial Hospital, Inc | 276 -280 Robinson St, Binghamton, NY 13904-1659 |
| Joann M Ernst | Nurse Practitioner | Our Lady of Lourdes Memorial Hospital, Inc | 169 Riveride Dr, Binghamton, NY 13905-4246 |
| Maria C Berry | Nurse Practitioner | Our Lady of Lourdes Memorial Hospital, Inc | 1130 Upper Fron St, Binghamton, NY 13901-1118 |
| Maria Syvinluan | Family Medicine | Our Lady of Lourdes Memorial Hospital, Inc | 1020 Vestal Pkwy E, Suite 2, Vestal, NY 13850-1748 |
| Elizabeth A Romeo | Nurse Practitioner | Our Lady of Lourdes Memorial Hospital, Inc | 39 E Main St, Hancock, NY 13783-1128 |
| Teresea G Leary | Nurse Practitioner | Our Lady of Lourdes Memorial Hospital, Inc | 500 5th Ave, Owego, NY 13827-1620 |
| Jennifer A Shattuck | Nurse Practitioner | Our Lady of Lourdes Memorial Hospital, Inc | 3101 Shippers Rd, Suite 102, Vestal, NY 13850-2003 |
| Susan M Wenzinger | Nurse Practitioner | Our Lady of Lourdes Memorial Hospital, Inc | 20 -24 S Washington St, Binghamton, NY 13903-1710 |
| Street Address |
39 E MAIN ST |
| City | HANCOCK |
| State | NY |
| Zip | 13783-1128 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth A Romeo | Nurse Practitioner | Our Lady of Lourdes Memorial Hospital, Inc | 39 E Main St, Hancock, NY 13783-1128 |
| Michelle Nulton | Nurse Practitioner | Our Lady of Lourdes Memorial Hospital, Inc | 39 E Main St, Hancock, NY 13783-1128 |
| Megan Wormuth | Nurse Practitioner | Our Lady of Lourdes Memorial Hospital, Inc | 39 E Main St, Hancock, NY 13783-1128 |
| Alexandria C Lynch | Urology | Our Lady of Lourdes Memorial Hospital, Inc | 39 E Main St, Hancock, NY 13783-1128 |
| Brandon Douglas Ewald | Podiatry | Our Lady of Lourdes Memorial Hospital, Inc | 39 E Main St, Hancock, NY 13783-1128 |
| Edith L Selzer | Clinical Social Worker | 39 E Main St, Floor 2, Little Falls, NJ 07424-1683 | |
| Lynn M Verduin | Nurse Practitioner | Our Lady of Lourdes Memorial Hospital, Inc | 39 E Main St, Hancock, NY 13783-1128 |
| City | HANCOCK |
| Zip Code | 13783 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | HANCOCK + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Richard E 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.