ELEANOR K BERG (NPI# 1013009570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013009570 |
| Entity Type | Individual |
| Full Name | ELEANOR K BERG |
| Practice Address |
Route 28/55 Grant Memorial Drive Grant Memorial Hospital Petersburg WV 26847 |
| Practice Telephone | 3042571026 |
| Mailing Telephone | 3042571026 |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
31685 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| X | 363LF0000X |
Nurse Practitioner Specialization: Family |
31685 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
ROUTE 28/55 GRANT MEMORIAL DRIVE GRANT MEMORIAL HOSPITAL |
| City | PETERSBURG |
| State | WV |
| Zip Code | 26847 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720688419 | Kimberly Dawn Runion | Technician | 791 Cave Mtn Rd, Petersburg, WV 26847 | 2020-10-30 |
| 1417568445 | Sandra Shook | Technician | 145 Army Lane, Petersburg, WV 26847 | 2020-08-13 |
| 1023590874 | Milas Robertson | Registered Nurse | 117 Hospital Drive, Petersbirg, WV 26847 | 2018-08-29 |
| 1043723851 | Cathy Lynn Arbogast | Technician | 6114 Rig Road, Rig, WV 26847 | 2017-11-15 |
| 1497028500 | Fort Ashby Business Associates, Inc. | Hearing Aid Equipment | 141 Water Street, Moorefield, WV 26847 | 2012-02-21 |
| 1770856882 | Fort Ashby Business Associates, Inc | Durable Medical Equipment & Medical Supplies | 1045 North Fork Highway, Petersburg, WV 26847 | 2012-02-21 |
| 1518278118 | Amanda Marie Borror | Obstetrics & Gynecology | 65 Hospital Dr Ste 104, Petersburg, WV 26847 | 2010-06-29 |
| 1700055365 | Grant County Board of Education | Local Education Agency (LEA) | 204 Jefferson Avenue, Grant County Board of Education, Petersburg, WV 26847 | 2008-02-27 |
| 1679741664 | Andrea D Brogan | Speech-Language Pathologist | Grant County Board of Education, 204 Jefferson Avenue, Petersburg, WV 26847 | 2008-02-13 |
| 1538347943 | Larry C. Rogers | Family Medicine | Memorial Dr, Petersburg, WV 26847 | 2008-02-07 |
| Find all providers in zip 26847 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346332533 | Evelyn Hall-harris | Nurse Practitioner | 40 Liberty St, Petersburg, VA 23803-5021 | 2006-09-28 |
| 1457378804 | Alliance Family Practice, PC | Nurse Practitioner | 3333 S Crater Rd, Suite 3a, Petersburg, VA 23805-9276 | 2006-07-15 |
| 1861440422 | Dawn Marie Adams | Nurse Practitioner | 200 Medical Park Blvd, Petersburg, VA 23805-9274 | 2006-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952884942 | Susan Rae Rash | Nurse Practitioner | 250 Stanaford Rd Ste 203, Beckley, WV 25801 | 2018-09-14 |
| 1881080521 | Rochelle Popovich | Nurse Practitioner | 600 18th St Ste 311, Parkersburg, WV 26101-3235 | 2015-04-09 |
| 1457769523 | Morgan Leigh Adams | Nurse Practitioner | 36 White Rock Dr, Hurricane, WV 25526-9621 | 2014-08-01 |
| 1821271008 | Rose M Clark | Nurse Practitioner | 489 Washington Ave, Clarksburg, WV 26301-2825 | 2007-12-11 |
| 1992873251 | Georgia L Narsavage | Nurse Practitioner | Health Science Center South 6700, Wvu Son Nursing Faculty Practice, Morgantown, WV 26506-9600 | 2006-12-02 |
| 1285645374 | James R Ellis | Nurse Practitioner | 425 Stanaford Rd, Beckley, WV 25801-3145 | 2006-08-11 |
| 1326036419 | Christine La Porte Palank | Nurse Practitioner | Shepherd Univ Student Health Services, E King St, Shepherdstown, WV 25443-1032 | 2005-10-12 |
| 1326043365 | Michael Shawn Stockman | Nurse Practitioner | 440 Koonce Rd, Harpers Ferry, WV 25425-3126 | 2005-06-16 |
| 1700486008 | Randi Dawnielle Davis | Nurse Practitioner | 1543 Country Club Rd, Fairmont, WV 26554-1306 | 2020-10-27 |
| 1578179081 | Samantha Renee Wise | Nurse Practitioner | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2020-09-20 |
| Find all providers with the same taxonomy | ||||
| City | PETERSBURG |
| Zip Code | 26847 |
Please comment or provide details below to improve the information on ELEANOR K BERG.
| 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.