DR. DANIEL RALPH BERG (NPI# 1013947555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013947555 |
Entity Type | Individual |
Full Name | DR. DANIEL RALPH BERG |
Credential | MD |
Practice Address |
401 Holly Hills Ave Saint Louis MO 63111-2410 |
Practice Telephone | 3143535190 |
Practice Fax Number | 3143537631 |
Mailing Telephone | 3143535190 |
Mailing Fax Number | 3143537631 |
Enumeration Date | 2006-07-03 |
Last Update Date | 2014-06-30 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207R00000X | Internal Medicine | 2002001981 | MO | Allopathic & Osteopathic Physicians |
N | 208M00000X | Hospitalist | 2002001981 | MO | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | 202846804 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164817722 | Daniel P Berg | Family Medicine | 163 E Bethalto Dr, Bethalto, IL 62010-1801 | 2015-03-31 |
1083718019 | Daniel Robert Berg | Optometrist | 638 Marketplace Blvd, Hamilton, NJ 08691-2113 | 2006-09-11 |
1154581536 | Daniel Berg | Radiologic Technologist | 420 4th St Ne Ste 122, Watertown, SD 57201-2658 | 2008-06-10 |
1689846875 | Daniel A Berg | Physical Therapy Assistant | 1007 Johnstown Ave, Salina, KS 67401-3021 | 2008-03-27 |
1760549950 | Daniel Berg | Dermatology | 1229 Madison Street, Suite 1090, Seattle, WA 98104 | 2007-01-03 |
1578636650 | Daniel Eric Berg | Internal Medicine | 2211 Genesee St, Suite 200, Utica, NY 13501-5930 | 2006-11-16 |
1659362069 | Daniel R Berg | Family Medicine | 1400 1st St Ne, New Prague, MN 56071-2215 | 2005-11-03 |
1841289790 | Daniel J Berg | Internal Medicine | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2005-10-13 |
Street Address |
401 HOLLY HILLS AVE |
City | SAINT LOUIS |
State | MO |
Zip Code | 63111-2410 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508867508 | Family Care Health Centers | Clinic/Center | 401 Holly Hills Ave, Saint Louis, MO 63111-2410 | 2005-08-02 |
1235758582 | Carmen Diane Purvis | Student in an Organized Health Care Education/Training Program | 401 Holly Hills Ave, Saint Louis, MO 63111-2410 | 2020-04-15 |
1366071672 | Jessica Therese Auld | Family Medicine | 401 Holly Hills Ave, Saint Louis, MO 63111-2410 | 2020-04-07 |
1386273662 | Anthony Hang | Student in an Organized Health Care Education/Training Program | 401 Holly Hills Ave, Saint Louis, MO 63111-2410 | 2020-04-07 |
1376172650 | Ryan Eric Allen | Student in an Organized Health Care Education/Training Program | 401 Holly Hills Ave, Saint Louis, MO 63111-2410 | 2020-04-07 |
1710516091 | Dymon Morgan | Student in an Organized Health Care Education/Training Program | 401 Holly Hills Ave, Saint Louis, MO 63111-2410 | 2020-04-07 |
1700433695 | Jessica Dawn Whitchurch | Nurse Practitioner | 401 Holly Hills Ave, Saint Louis, MO 63111-2410 | 2019-08-25 |
1790340438 | Marco Samuel Garcia | Student in an Organized Health Care Education/Training Program | 401 Holly Hills Ave, Saint Louis, MO 63111 | 2019-05-08 |
1902460231 | Hannah Jacobs Webber | Student in an Organized Health Care Education/Training Program | 401 Holly Hills Ave, Saint Louis, MO 63111-2410 | 2019-04-22 |
1699238204 | Jacquelyn Adele Bailey | Student in an Organized Health Care Education/Training Program | 401 Holly Hills Ave, Saint Louis, MO 63111-2410 | 2019-04-10 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992291660 | Ebony Cannon | Behavior Technician | 7700 Minosotta Ave, St.louis, MO 63111 | 2018-07-06 |
1811310212 | Danny Brown | Home Health | 5328 Virginia, Saint Louis, MO 63111 | 2014-01-22 |
1548387681 | Raymond Joseph Skosky | Dentist | 5530 Virginia Avenue, Saint Louis, MO 63111 | 2007-03-23 |
1972666782 | Diane P Hamill | Optometrist | 1012 Loughborough Commons, St. Louis, MO 63111 | 2006-12-19 |
1073673828 | Bethesda Long Term Care, Inc. | Custodial Care Facility | 4431 South Broadway, St. Louis, MO 63111 | 2006-12-11 |
1669542668 | Anna D Naumovich | Internal Medicine | 5205 South Grand Ave, St Louis, MO 63111 | 2006-11-08 |
1417040114 | Tony Thien Tang | Internal Medicine | 4675 South Grand Blvd., St. Louis, MO 63111 | 2006-10-02 |
1790736171 | Robert Clarence Egan | Surgery | 3535 South Jefferson Ste 101, Ste 101, St Louis, MO 63111 | 2006-05-12 |
1154717593 | Nucrown, LLC | Optometrist | 1012 Loughborough Commons, Saint Louis, MO 63111 | 2015-04-13 |
1598070765 | Irene S Paul | Pharmacist | 1020 Loughborough Ave, Saint Louis, MO 63111 | 2010-08-12 |
Find all providers in zip 63111 |
Taxonomy Code | 207R00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
---|---|---|---|---|
1780223933 | Glenn C. Jacobsen | Internal Medicine | 7 Carrswold Dr, Saint Louis, MO 63105-2914 | 2020-01-04 |
1396305868 | Kevin Colin O'fee | Internal Medicine | 1 Barnes Jewish Hospital Plz # 90-29928, Saint Louis, MO 63110-1003 | 2019-06-17 |
1144740200 | Michael Slade | Internal Medicine | 660 S Euclid Ave # 8056-29, Saint Louis, MO 63110-1010 | 2017-06-20 |
1386171312 | Niaz Memon | Internal Medicine | 625 S New Ballas Rd Ste 7020, Saint Louis, MO 63141-8218 | 2017-05-22 |
1043746027 | Paul David Olivo | Internal Medicine | 639 W Polo Dr, Saint Louis, MO 63105-2635 | 2017-05-11 |
1649706243 | Jared Frisby | Internal Medicine | 1100 S Grand Blvd Fl 8, Saint Louis, MO 63104-1015 | 2017-05-03 |
1518417708 | Md At Home LLC | Internal Medicine | 6 Portland Pl, Saint Louis, MO 63108-1204 | 2016-10-11 |
1285087429 | Kathryn Parker | Internal Medicine | 1000 Des Peres Rd Ste 300, Saint Louis, MO 63131 | 2016-07-22 |
1831540863 | John Kirby Krause Jr. | Internal Medicine | 1031 Highlands Plaza Dr W, Apt 510, Saint Louis, MO 63110-1303 | 2016-06-30 |
1104277458 | Vedica Sharma | Internal Medicine | 10010 Kennerly Rd Ste 140, Saint Louis, MO 63128-2106 | 2016-06-28 |
Find all providers in SAINT LOUIS |
City | SAINT LOUIS |
Zip Code | 63111 |
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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.