JORGE J BERGESE (NPI# 1053417550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053417550 |
| Entity Type | Individual |
| Full Name | JORGE J BERGESE |
| Credential | MD |
| Practice Address |
370 Cline Ave Mansfield OH 44907-1057 |
| Practice Telephone | 4197561125 |
| Practice Fax Number | 4197561825 |
| Mailing Telephone | 4197561125 |
| Mailing Fax Number | 4197561825 |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | 35.038255 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0332376 | 05 |
| Street Address |
370 CLINE AVE |
| City | MANSFIELD |
| State | OH |
| Zip Code | 44907-1057 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255318275 | Sushil M Sethi | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 370 Cline Ave, Mansfield, OH 44907-1057 | 2005-12-30 |
| 1841826922 | Linda Cole | Social Worker | 370 Cline Ave, Mansfield, OH 44907-1057 | 2020-03-20 |
| 1730715574 | Midwest Allergy Associates, Inc. | Allergy & Immunology | 370 Cline Ave, Mansfield, OH 44907-1057 | 2020-03-12 |
| 1730714700 | Angela Peters | Case Manager/Care Coordinator | 370 Cline Ave, Mansfield, OH 44907-1057 | 2020-03-10 |
| 1336774496 | Teresa Mack | Case Manager/Care Coordinator | 370 Cline Ave, Mansfield, OH 44907-1057 | 2020-03-10 |
| 1669007720 | Dianne Harris-buettner | Counselor | 370 Cline Ave, Mansfield, OH 44907-1057 | 2020-03-10 |
| 1497395222 | Ashley Canankamp | Case Manager/Care Coordinator | 370 Cline Ave, Mansfield, OH 44907-1057 | 2020-01-09 |
| 1396384434 | Lauren Colleen Bates | Physician Assistant | 370 Cline Ave, Mansfield, OH 44907-1057 | 2020-01-06 |
| 1952771081 | James L Saltzgiver Jr Dds Inc | Durable Medical Equipment & Medical Supplies | 370 Cline Ave, Mansfield, OH 44907-1057 | 2015-10-01 |
| 1417191636 | Mansfield Plastic Surgery, LLC | Clinic/Center | 370 Cline Ave, Mansfield, OH 44907-1057 | 2009-05-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053932434 | Kerri Nichole Tolliver | Licensed Practical Nurse | Mansfield Comprehensive Treatment Center, 475 Lexington Ave, Mansfield, OH 44907 | 2020-04-27 |
| 1790325371 | Gabrielle Smith | Licensed Practical Nurse | 707 Scholl Rd, Mansfield, OH 44907 | 2020-01-10 |
| 1912544982 | Heidi L Mathews | Behavior Technician | 270 Sterkel Blvd., Mansfield, OH 44907 | 2019-12-09 |
| 1851942254 | Misty J Kline | Licensed Practical Nurse | 707 Scholl Rd., Mansfield, OH 44907 | 2019-09-26 |
| 1528533320 | Ohio Treatment Center, LLC | Clinic/Center | 475 Lexington Ave., Mansfield, OH 44907 | 2018-10-08 |
| 1750898722 | Hannah Rose Hardin | Behavior Technician | 1033 Larchwood R, Mansfield, OH 44907 | 2017-12-29 |
| 1932548856 | Jessica Alexis Taylor | Counselor | 641 Scholl Rd., Mansfield, OH 44907 | 2013-06-25 |
| 1336495258 | Sonal Sinha | Psychiatry & Neurology | 341 Cline Ave Ste 1, Mansfield, OH 44907 | 2012-07-29 |
| 1427321579 | Tara Kightlinger | Community Health Worker | 442 Brenda Dr, Mansfield, OH 44907 | 2012-02-21 |
| 1649557620 | William Scott Olar | Chiropractor | 1179 Lexington Ave, Mansfield, OH 44907 | 2011-11-04 |
| Find all providers in zip 44907 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578531059 | Richard J Burkett | Plastic Surgery | 1770 E Broad St, Suite 100, Mansfield, TX 76063 | 2006-03-09 |
| 1093984767 | Walter G. Bodjanac, Do, LLC | Plastic Surgery | 770 Balgreen Dr, Suite 109, Mansfield, OH 44906-4106 | 2008-02-26 |
| 1639275142 | Carlos C Nani | Plastic Surgery | 370 Cline Ave, Mansfield, OH 44907-1057 | 2006-09-15 |
| 1386740793 | Jorge J. Bergese, Md Inc. | Plastic Surgery | 370 Cline Ave, Mansfield, OH 44907-1057 | 2006-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225672439 | Stratus Plastic Surgery LLC | Plastic Surgery | 7227 N High St Ste 256, Worthington, OH 43085-2575 | 2019-10-30 |
| 1467910737 | Sarkos Plastic Surgery LLC | Plastic Surgery | 2662 Elm Rd Bldg C, Cortland, OH 44410-9393 | 2019-03-06 |
| 1710454368 | Surfield Plastic Surgery, LLC | Plastic Surgery | 701 Tyler St Ste 301, Sandusky, OH 44870-3321 | 2018-10-31 |
| 1376931105 | Jacob Keith Crittenden IIi | Plastic Surgery | 621 Tusculum Ave, Cincinnati, OH 45226-1771 | 2015-01-01 |
| 1689910184 | Thomas Eades Shaw | Plastic Surgery | 3480 Roundwood Rd, Chagrin Falls, OH 44022-6636 | 2013-01-02 |
| 1588919617 | Joseph Meyerson | Plastic Surgery | 915 Olentangy River Rd Ste 2100, Columbus, OH 43212-3154 | 2012-07-15 |
| 1427312123 | Carmen Paradis | Plastic Surgery | 10311 Bartholomew Rd, Chagrin Falls, OH 44023-2303 | 2012-06-27 |
| 1639455546 | Mehmet Bozkurt | Plastic Surgery | Cleveland Clinic 9500 Euclid Avenue A60, Cleveland, OH 44195-0001 | 2011-10-25 |
| 1699063057 | Shahryar Tork | Plastic Surgery | 4850 Red Bank Rd Fl 2, Cincinnati, OH 45227 | 2011-07-19 |
| 1083914774 | Som N Tandon Md Inc | Plastic Surgery | 3551 Springdale Rd, Cincinnati, OH 45251-1343 | 2010-10-27 |
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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.