TONY L BERG (NPI# 1053492827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053492827 |
| Entity Type | Individual |
| Full Name | TONY L BERG |
| Credential | MD |
| Practice Address |
809 Jackson St Burke SD 57523-2065 |
| Mailing Address |
Po Box 319 Burke SD 57523-0319 |
| Practice Telephone | 6057752631 |
| Practice Fax Number | 6057752564 |
| Mailing Telephone | 6057752631 |
| Mailing Fax Number | 6057752564 |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2013-11-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 2460 | SD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | 560052 | 05 | |
| DME | 0851370001 | 01 | |
| SD | 5600050 | 05 |
| Street Address |
809 JACKSON ST |
| City | BURKE |
| State | SD |
| Zip Code | 57523-2065 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336196310 | Leola Mae Lyon | Physician Assistant | 809 Jackson St, Burke, SD 57523-2065 | 2006-05-27 |
| 1568935237 | Kris A Schweigert | Counselor | 809 Jackson St, Burke, SD 57523-2065 | 2019-01-06 |
| 1659544807 | Community Memorial Hospital | Home Health | 809 Jackson St, Burke, SD 57523-0319 | 2008-04-09 |
| 1487878435 | Community Memorial Hospital, Inc | Clinic/Center | 809 Jackson St, Burke, SD 57523-0319 | 2007-04-12 |
| 1417038100 | Mary S Carpenter | Family Medicine | 809 Jackson St, Burke, SD 57523-2065 | 2006-10-18 |
| 1124108568 | Community Memorial Hospital, Inc | General Acute Care Hospital | 809 Jackson St, Burke, SD 57523-0319 | 2006-10-17 |
| 1902849516 | Community Memorial Hospital, Inc | General Acute Care Hospital | 809 Jackson St, Burke, SD 57523-0319 | 2006-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710047949 | Burke Community Pharmacy | Pharmacy | 814 Jackson Street, Burke, SD 57523 | 2006-12-11 |
| 1568754216 | Megan M Smith | Family Medicine | 814 Jackson St, Burke, SD 57523 | 2011-05-12 |
| 1497875306 | Burke Ambulance Service, Inc. | Ambulance | 701 Washington Street, Burke, SD 57523-0061 | 2007-04-02 |
| 1578889523 | Burke Volunteer Fire Department and Ambulance Service Inc | Ambulance | 701 Washington Street, Burke, SD 57523-0061 | 2010-04-15 |
| 1841601176 | Nancy Benter | Registered Nurse | 145 W 5 St, Burke, SD 57523-0147 | 2014-05-08 |
| 1356347496 | Debra K Leibel | Nurse Practitioner | 814 Jackson St, Burke, SD 57523-0358 | 2005-06-23 |
| 1447293196 | Community Memorial Hospital, Inc | Clinic/Center | 814 Jackson St, Burke, SD 57523-0358 | 2006-06-13 |
| 1346289568 | Michael R Birgenheir | Physician Assistant | 814 Jackson St, Burke, SD 57523-0358 | 2006-06-05 |
| 1790732600 | Amy S Juracek | Nurse Practitioner | 814 Jackson St, Burke, SD 57523-0358 | 2006-05-27 |
| 1881794006 | Sanford Home Medical Equipment | Durable Medical Equipment & Medical Supplies | 841 Jackson St Suite A, Burke, SD 57523-0375 | 2006-09-25 |
| Find all providers in zip 57523 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467682153 | Cheryl Anne Ostrowski | Family Medicine | 9409-8 Old Burke Lake Road, Burke, VA 22015-3127 | 2009-07-16 |
| 1750516340 | Nancy Selim | Family Medicine | 8991 Cotswold Dr, Burke, VA 22015-1657 | 2009-05-26 |
| 1154482685 | Annick Stam-cheatham | Family Medicine | 9409-b Old Burke Lake Road, Burke, VA 22015 | 2006-12-12 |
| 1487765830 | Burke Family Practice P.C. | Family Medicine | 9409 Old Burke Lake Rd # B, Burke, VA 22015-3127 | 2006-08-31 |
| 1205861135 | Alton Glenn Tucker | Family Medicine | 8991 Cotswold Drive, Burke, VA 22015 | 2006-07-11 |
| 1710959234 | Elizabeth Ann Bennett | Family Medicine | 9159 Bloom Ct, Burke, VA 22015-1643 | 2006-02-07 |
| 1639149925 | Glenn Anderson | Family Medicine | 9409 B Old Burke Lake Rd, Burke, VA 22015 | 2006-01-26 |
| 1407470107 | Bbennettmd 1 On 1 Virtual Healthcare | Family Medicine | 9159 Bloom Ct, Burke, VA 22015-1643 | 2020-05-29 |
| 1619458221 | Katherine J Flaugh | Family Medicine | 9409b Old Burke Lake Rd, Burke, VA 22015-3127 | 2018-08-22 |
| 1659858975 | Rebecca Verga | Family Medicine | 9409 Old Burke Lake Rd, Burke, VA 22015-3127 | 2018-07-20 |
| Find all providers in BURKE | ||||
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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.