DR PAUL A BERGHUIS INC PS (NPI# 1053509968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053509968 |
| Entity Type | Organization |
| Organization Name | DR PAUL A BERGHUIS INC PS |
| Practice Address |
1401 S Laventure Rd Mount Vernon WA 98274-6033 |
| Mailing Address |
Po Box 104 Mount Vernon WA 98273-0104 |
| Practice Telephone | 3603366517 |
| Mailing Telephone | 3603366517 |
| Enumeration Date | 2007-10-05 |
| Last Update Date | 2008-05-22 |
| Authorized Official Name | CHAR MELDAHL (BILLING AGENT) |
| Authorized Official Telephone | 3604662542 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
OP00001383 | WA | Allopathic & Osteopathic Physicians |
| Y | 207L00000X | Anesthesiology | OP00001383 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | REGENCE BLUE SHIELD | 2655BE | 01 |
| WA | 1124635 | 05 | |
| WA | DEPARTMENT OF LABOR AND INDUSTRIES | 0226265 | 01 |
| Street Address |
1401 S LAVENTURE RD |
| City | MOUNT VERNON |
| State | WA |
| Zip Code | 98274-6033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588662472 | Kaarsten Robin Lang | Orthopaedic Surgery | 1401 S Laventure Rd, Mount Vernon, WA 98274-6033 | 2005-07-13 |
| 1114419280 | Janelle A Shah | Physician Assistant | 1401 S Laventure Rd, Mount Vernon, WA 98274 | 2018-06-04 |
| 1700326824 | Shannan Theresa O'brien | Physician Assistant | 1401 S Laventure Rd, Mount Vernon, WA 98274-6033 | 2017-03-08 |
| 1316372394 | Jennifer C Dalziel | Occupational Therapist | 1401 S Laventure Rd, Mount Vernon, WA 98274-6033 | 2013-09-09 |
| 1457680233 | Matthew Nathan Ball | Physician Assistant | 1401 S Laventure Rd, Mount Vernon, WA 98274-6033 | 2009-12-08 |
| 1104075621 | Kimberly Kae Miller | Physical Therapist | 1401 S Laventure Rd, Mount Vernon, WA 98274-6033 | 2008-09-09 |
| 1861690257 | Jonathan B. Shafer | Orthopaedic Surgery | 1401 S Laventure Rd, Mount Vernon, WA 98274-6033 | 2007-07-06 |
| 1013112895 | Jane E. Kaptein | Registered Nurse | 1401 S Laventure Rd, Mount Vernon, WA 98274-6033 | 2007-06-20 |
| 1114142577 | Ashli Rhodes Jones | Massage Therapist | 1401 S Laventure Rd, Mount Vernon, WA 98274-6033 | 2007-04-13 |
| 1366598963 | Dawei Lu | Orthopaedic Surgery | 1401 S Laventure Rd, Mount Vernon, WA 98274-6033 | 2007-01-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881123438 | Ankur Tarun Sanghvi | Peer Specialist | 209 Milwaukee Steet, 209, Mount Vernon, WA 98274 | 2017-06-07 |
| 1932647187 | Claudia Diaz | Counselor | 23550 Garden St, Mount Vernon, WA 98274 | 2017-02-08 |
| 1871042002 | Richard Simcock Dds, Ps | Dentist | 130 S 15th St Suite 101, Mount Vernon, WA 98274 | 2016-09-29 |
| 1528228186 | Parampreet Singh Ghuman | Internal Medicine | 121 S. 12th St, Ste B, Mount Vernon, WA 98274 | 2008-06-16 |
| 1699940874 | Eugene Villanueva De Guzman | Internal Medicine | 208 S Hospital Pkwy, Mount Vernon, WA 98274 | 2008-04-28 |
| 1871775122 | Matthew John Novak | Internal Medicine | 208 Hospital Pkwy, Mount Vernon, WA 98274 | 2007-11-28 |
| 1568658797 | Emily A K Bianconi | Nurse Practitioner | 2101 Little Mountain Lane, Mount Vernon, WA 98274 | 2007-09-21 |
| 1659576981 | Peggy Randall | Counselor | 1420 S 12th, Mount Vernon, WA 98274 | 2007-06-18 |
| 1194937037 | Cascade Neurologic Clinic, Inc, P.s. | Clinic/Center | 1315 East Division St., Mt. Vernon, WA 98274 | 2007-05-04 |
| 1427171297 | Keri L D Halgren | Dentist | 1711 E Division Street, Mt Vernon, WA 98274 | 2007-04-09 |
| Find all providers in zip 98274 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972051589 | Sheryl Bartel | Anesthesiology | 16088 Andal Ln, Mount Vernon, WA 98274-7020 | 2016-09-13 |
| 1154457281 | Mv-anesthesia Ps | Anesthesiology | 110 N 30th St, Mount Vernon, WA 98273-3668 | 2007-02-25 |
| 1346353661 | Southern Illinois Anesthesiology Ltd | Anesthesiology | 605 N 12th Street, Mount Vernon, IL 62864-2857 | 2006-08-17 |
| 1447266507 | Prince B Oliver Jr. | Anesthesiology | 605 N 12th St, Mount Vernon, IL 62864-2857 | 2006-07-31 |
| 1487674263 | Bentley Akobundu Ogoke | Anesthesiology | 140 Stevens Ave, Mount Vernon, NY 10550-2515 | 2006-07-21 |
| 1194729517 | James E. Probst Jr. | Anesthesiology | 8 Doctors Park Rd, Mount Vernon, IL 62864-6224 | 2005-06-13 |
| 1285270280 | Rajeshri Asariparampil | Anesthesiology | 2 Good Samaritan Way Ste 205, Mount Vernon, IL 62864-2476 | 2019-11-25 |
| 1003163403 | Matthew Rahrig | Anesthesiology | 1330 Coshocton Ave, Mount Vernon, OH 43050 | 2012-08-06 |
| 1972878460 | Anesthesia Associates of Southern Illinois, LLC | Anesthesiology | 8 Doctors Park Rd, Mount Vernon, IL 62864-6224 | 2012-03-15 |
| 1881995280 | Kom Anesthesia Services LLC | Anesthesiology | 2100 Little Mountain Ln, Mount Vernon, WA 98274-8752 | 2010-11-16 |
| Find all providers in MOUNT VERNON | ||||
| City | MOUNT VERNON |
| Zip Code | 98274 |
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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.