DR. PHILIP WILLIAM BERGER (NPI# 1013913029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013913029 |
| Entity Type | Individual |
| Full Name | DR. PHILIP WILLIAM BERGER |
| Credential | D.O. |
| Practice Address |
406 Black Hills Ln Sw Ste A Olympia WA 98502-8144 |
| Practice Telephone | 3607541737 |
| Practice Fax Number | 3607043408 |
| Mailing Telephone | 3607541737 |
| Mailing Fax Number | 3607043408 |
| Enumeration Date | 2005-06-23 |
| Last Update Date | 2009-11-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
OP00001080 | WA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053701540 | Philip L Berger | Pharmacist | 30495 Canwood St, Agoura Hills, CA 91301-4331 | 2015-02-04 |
| 1851339725 | Philip D Berger | Family Medicine | 55 N High St, New Albany, OH 43054-7099 | 2006-06-03 |
| Street Address |
406 BLACK HILLS LN SW STE A |
| City | OLYMPIA |
| State | WA |
| Zip Code | 98502-8144 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831191162 | Marshall Edward Mccabe IIi | Internal Medicine | 406 Black Hills Ln Sw, Ste A, Olympia, WA 98502-8144 | 2005-05-31 |
| 1851684765 | Michelle Bradley Thompson | Internal Medicine | 406 Black Hills Ln Sw, Ste A, Olympia, WA 98502-8144 | 2011-05-25 |
| 1336478122 | Quest Diagnostics Clinical Laboratories Inc | Clinical Medical Laboratory | 406 Black Hills Ln Sw, Suite A, Olympia, WA 98502-8143 | 2009-12-08 |
| 1174796080 | Ion Botnaru | Internal Medicine | 406 Black Hills Ln Sw, Olympia, WA 98502-8143 | 2008-04-11 |
| 1356386783 | Olympia Multi Specialty Clinic | Specialist | 406 Black Hills Ln Sw, Olympia, WA 98502-8143 | 2006-06-19 |
| 1821094756 | Harton Singer Smith | Internal Medicine | 406 Black Hills Ln Sw, Ste A, Olympia, WA 98502-8144 | 2005-06-24 |
| 1518963438 | James Gregg Julin | Internal Medicine | 406 Black Hills Ln Sw, Ste A, Olympia, WA 98502-8144 | 2005-06-24 |
| 1982600961 | Darien Heap | Internal Medicine | 406 Black Hills Ln Sw, Ste A, Olympia, WA 98502-8144 | 2005-06-23 |
| 1366448532 | Thomas Francis O'meara | Internal Medicine | 406 Black Hills Ln Sw, Ste A, Olympia, WA 98502-8144 | 2005-06-22 |
| 1861498032 | Carole Anne Buckner | Internal Medicine | 406 Black Hills Ln Sw, Ste A, Olympia, WA 98502-8144 | 2005-06-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801409172 | Fanny Cordero | Interpreter | 1415 4th Ave W, Olympia, WA 98502 | 2020-08-26 |
| 1235762832 | Accessible Living Physical Therapy | Clinic/Center | 3524 7th Ave Se, Olympia, WA 98502 | 2020-02-21 |
| 1548807738 | Kaiser Foundation Health Plan of Washington | Pharmacy | 1200 Cooper Point Road Sw, Suite 100, Olympia, WA 98502 | 2019-12-06 |
| 1851946388 | Katherine Ann Vitela | Registered Nurse | 4909 Green Wood Dr Sw, Olympia, WA 98502 | 2019-08-01 |
| 1538632658 | Carmen Rae Breding | Massage Therapist | 2627 Capital Mall Dr Se, Olympia, WA 98502 | 2019-01-11 |
| 1285129155 | Fook Yee Cheung | Genetic Counselor, MS | 2010 Caton Way Sw Ste 102, Olympia, WA 98502 | 2018-06-24 |
| 1942724158 | William Coburn | Specialist/Technologist | 703 Lilly Road Ne, Suite 104, Olympia, WA 98502 | 2017-07-29 |
| 1225567415 | Thierry Buckner | Counselor | 2400 Bristol Court Sw, Olympia, WA 98502 | 2017-06-09 |
| 1619406048 | Trenton Reid | Massage Therapist | 2103 Harrison Ave Nw #2642, Olympia, WA 98502 | 2017-06-08 |
| 1962807305 | Richa Mehta | Dentist | 1530 Black Lake Boulevard, Suite A103, Olympia, WA 98502 | 2014-10-28 |
| Find all providers in zip 98502 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861446494 | Qiang Li | Internal Medicine | 500 Lilly Rd Ne Ste 100, Olympia, WA 98506-5195 | 2006-05-19 |
| 1871594325 | David H Schoening | Internal Medicine | 500 Lilly Rd Ne, Ste 100, Olympia, WA 98506 | 2005-08-09 |
| 1740281294 | Christopher L Wolfe | Internal Medicine | 406a Black Hills Ln Sw, Olympia, WA 98502 | 2005-08-09 |
| 1437157674 | Michael J Menen | Internal Medicine | 413 Lilly Rd Ne, Olympia, WA 98506-5133 | 2005-07-12 |
| 1164724308 | Providence Health & Services-washington | Internal Medicine | 500 Lilly Rd Ne, Suite 100, Olympia, WA 98506-5195 | 2010-11-20 |
| 1336456672 | Natasha P Arora | Internal Medicine | 500 Lilly Rd Ne Ste 100, Providence Cardiology Associates, Olympia, WA 98506-5195 | 2010-09-08 |
| 1679884993 | Matthew S Berger | Internal Medicine | 406-a Black Hills Ln Sw, Olympia, WA 98502 | 2010-07-01 |
| 1669797320 | Charles Frederick Rossow | Internal Medicine | 500 Lilly Rd Ne Ste 100, Olympia, WA 98506-5195 | 2010-04-06 |
| 1750543906 | Sara Cecilia Martinez | Internal Medicine | 500 Lilly Rd Ne Ste 100, Providence Cardiology Associates, Olympia, WA 98506-5195 | 2008-06-30 |
| 1659554624 | Scott David Werden | Internal Medicine | 500 Lilly Rd Ne, Memorial Medical Plaza, Olympia, WA 98506-5195 | 2007-12-12 |
| Find all providers in OLYMPIA | ||||
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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.