AMY MARIE BERGER (NPI# 1093991739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093991739 |
| Entity Type | Individual |
| Full Name | AMY MARIE BERGER |
| Credential | PA-C |
| Practice Address |
1615 Maple Lane Ashland WI 54806 |
| Practice Telephone | 7156856010 |
| Practice Fax Number | 7193686872 |
| Mailing Telephone | 7156856010 |
| Mailing Fax Number | 7193686872 |
| Enumeration Date | 2008-01-11 |
| Last Update Date | 2019-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 2775 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
2775 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
2775 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | CO305010 | 05 | |
| CO | 78601371 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144409848 | Amy Jean Berger | Registered Nurse | 6969 W 90th Ave Apt 1138, Westminster, CO 80021-7026 | 2007-10-30 |
| 1699249680 | Amy Marie Berger | Counselor | 6570 Sosna Dr, Fairfield, OH 45014-2222 | 2019-01-14 |
| 1477923720 | Amy Berger | Specialist | 47 Humphrey Dr, Syosset, NY 11791-4022 | 2015-09-30 |
| 1902206352 | Amy Berger | Speech-Language Pathologist | 9600 Two Notch Rd Ste 24, Columbia, SC 29223-1613 | 2014-09-03 |
| 1366795528 | Amy Chang Berger | Student in an Organized Health Care Education/Training Program | 505 Parnassus Ave, San Francisco, CA 94143-0120 | 2012-10-24 |
| 1386753309 | Amy Berger | Dentist | 1765 Springdale Rd, Cherry Hill, NJ 08003-2177 | 2006-08-30 |
| Street Address |
1615 MAPLE LANE |
| City | ASHLAND |
| State | WI |
| Zip Code | 54806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184617862 | Enrique Amin Africano | Obstetrics & Gynecology | 1615 Maple Lane, Ashland, WI 54806 | 2005-08-26 |
| 1205028180 | Billy L Schouten | Registered Nurse | 1615 Maple Lane, Memorial Medical Center Inc Behavioral Health Service, Ashland, WI 54806 | 2007-08-14 |
| 1285826164 | Cheryl A Peterson | Registered Nurse | 1615 Maple Lane, Memorial Medical Center Inc Behavioral Health Service, Ashland, WI 54806 | 2007-08-14 |
| 1134311541 | Aanders Jarl Dommer | Family Medicine | 1615 Maple Lane, Ashland, WI 54806 | 2007-08-10 |
| 1386786754 | Camile D Sateren | Optometrist | 1615 Maple Lane, Ashland, WI 54806 | 2007-02-13 |
| 1528165081 | Joseph John Signorelli | Orthopaedic Surgery | 1615 Maple Lane, Ashland, WI 54806 | 2006-09-19 |
| 1003911603 | Justin Shawn Cummins | Orthopaedic Surgery | 1615 Maple Lane, Ashland, WI 54806 | 2006-09-14 |
| 1225050875 | Steven M Sampson | Family Medicine | 1615 Maple Lane, Ashland, WI 54806 | 2006-07-24 |
| 1033143375 | Anthony C Valentine | Physician Assistant | 1615 Maple Lane, Ashland, WI 54806-3610 | 2006-07-11 |
| 1427004126 | Kevin Ray Hess | Psychiatry & Neurology | 1615 Maple Lane, Ashland, WI 54806-3610 | 2006-05-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992236525 | Robin Jurgensen | Counselor | 1619 W Third Street, Ashland, WI 54806 | 2017-03-24 |
| 1922479195 | Alexa M Honstad | Registered Nurse | Memorial Medical Center, Inc, 1615 Maple Lane, Ashland, WI 54806 | 2015-10-14 |
| 1982032728 | Noel Hong | Pharmacist | 1800 Us Highway 2, Ashland, WI 54806 | 2013-10-14 |
| 1588909402 | Kelli Danielle Culver | Registered Nurse | 216 3rd St W Ste 201, Ashland, WI 54806 | 2012-12-04 |
| 1114191756 | Karen Keyes | Occupational Therapist | 1635 Maple Lane, Behavioral Health Services, Ashland, WI 54806 | 2008-04-15 |
| 1174645204 | Michael Allyn Turgeon | Social Worker | 517 Beaser Avenue, Ashland, WI 54806 | 2007-04-06 |
| 1770669269 | Laura Anton Ia Nitsche | Speech-Language Pathologist | 618 Beaser Avenue, Ashland, WI 54806 | 2006-10-27 |
| 1104915222 | Patrick Alan Hickman | Chiropractor | 400 East Lakeshore Drive, Ashland, WI 54806 | 2006-10-12 |
| 1386732113 | Janet Lee Sternat | Physical Therapist | 618 Beaser Ave, Cesa #12, Ashland, WI 54806 | 2006-10-10 |
| 1295743193 | Ashland Dental Clinic Inc | Dentist | 300 9th Ave W, Ashland, WI 54806 | 2006-08-04 |
| Find all providers in zip 54806 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417575473 | Hemal Kishorbhai Desai | Physician Assistant | 1 Cirrus Dr Apt 105, Ashland, MA 01721-4431 | 2020-07-07 |
| 1770104408 | Logan Leon | Physician Assistant | 404 Lakeshore Rd, Ashland, OH 44805-8612 | 2020-05-05 |
| 1083165559 | Ashland Hospital Corporation | Physician Assistant | 14375 Lions Ln, Ashland, KY 41102-7066 | 2016-10-20 |
| 1508317975 | Ashland Hospital Corporation | Physician Assistant | 2123 Main St W, Ashland, KY 41102-3237 | 2016-10-20 |
| 1407307879 | Ashland Hospital Corporation | Physician Assistant | 1001 Winslow Rd, Ashland, KY 41102-5317 | 2016-10-20 |
| 1891246369 | Ashland Hospital Corporation | Physician Assistant | 1226 Summitt Rd, Ashland, KY 41102-8278 | 2016-10-20 |
| 1598216962 | Ashland Hospital Corporation | Physician Assistant | 258 Mcknight St, Ashland, KY 41102-4339 | 2016-10-20 |
| 1437600814 | Ashland Hospital Corporation | Physician Assistant | 3215 South 29th St, Ashland, KY 41102 | 2016-10-20 |
| 1437600905 | Ashland Hospital Corporation | Physician Assistant | 12862 State Route 180, Ashland, KY 41102-8939 | 2016-10-20 |
| 1174074553 | Ashland Hospital Corporation | Physician Assistant | 1100 Bob Mccullough Dr, Ashland, KY 41102 | 2016-10-20 |
| Find all providers in ASHLAND | ||||
Please comment or provide details below to improve the information on AMY MARIE BERGER.
| 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.