MR. THOMAS L BERRY (NPI# 1104830876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104830876 |
| Entity Type | Individual |
| Full Name | MR. THOMAS L BERRY |
| Credential | N.P. |
| Practice Address |
7850 W College Dr Palos Heights IL 60463-1010 |
| Mailing Address |
3037 Fresno Ln Homewood IL 60430-2840 |
| Practice Telephone | 7083616990 |
| Practice Fax Number | 7083617697 |
| Mailing Telephone | 7089579121 |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2016-09-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 209-005729 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | RR MEDICARE PTAN | P00792110 | 01 |
| IL | 209005729 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346450830 | Thomas Allen Berry | Dentist | 500 Old River Rd #255, Bakersfield, CA 93311 | 2007-05-23 |
| 1073501383 | Thomas K Berry | Surgery | 314 Fairy Street Ext, Ste B, Martinsville, VA 24112-1913 | 2005-10-11 |
| 1477558591 | Thomas Nelson Berry | Dermatology | 1300 S Division St, Salisbury, MD 21804-6937 | 2005-06-15 |
| 1912237959 | Thomas P Berry | Dentist | 13625 California St, Suite 300, Omaha, NE 68154-5304 | 2010-01-13 |
| 1629243431 | Thomas Joel Berry | Pain Medicine | 64301 Highway 434, Lacombe, LA 70445-5411 | 2008-04-23 |
| 1609094309 | Thomas Christopher Berry | Surgery | 1302 Lakewood Dr, Suite 202, Morgan City, LA 70380-1889 | 2007-04-20 |
| 1023161981 | Thomas D. Berry | Dentist | 3280 Howell Mill Rd Nw, Suite 240, Atlanta, GA 30327-4111 | 2007-01-22 |
| 1851349088 | Thomas Berry | Dentist | 1635 N Ursula St., Room 5200, Aurora, CO 80045 | 2006-05-04 |
| Street Address |
7850 W COLLEGE DR |
| City | PALOS HEIGHTS |
| State | IL |
| Zip Code | 60463-1010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649213539 | Manor Care of Palos Heights Il LLC | Clinic/Center | 7850 W College Dr, Palos Heights, IL 60463-1010 | 2006-06-14 |
| 1639688005 | Samantha Slutzky | Occupational Therapist | 7850 W College Dr, Palos Heights, IL 60463-1010 | 2017-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932756095 | Kim Rusiecki | Technician | 25 Parliament Drive East, Palos Heights, IL 60463 | 2019-08-23 |
| 1265925218 | Sentinel Anesthesia of Illinois, PC | Anesthesiology | 7340 W College Dr Fl 1, Palos Heights, IL 60463 | 2018-06-13 |
| 1225410848 | Deborah Ann Castaneda | Skilled Nursing Facility | 12350 Natchez Ave., Palos Heights, IL 60463 | 2015-06-19 |
| 1609253160 | Tareq Ayyad | Physical Therapy Assistant | 11730 Lighthouse Ln, Palos Heights, IL 60463 | 2015-05-04 |
| 1366846503 | Ryan Teahen | Dentist | 7600 W College Dr Ste 17, Palos Heights, IL 60463 | 2014-10-17 |
| 1295140309 | Paul Park | Ophthalmology | 7600 W College Dr Ste 9, Palos Heights, IL 60463 | 2014-06-26 |
| 1275976045 | Nazim A. Khan | Physician Assistant | 6450 West College Drive, Palos Heights, IL 60463 | 2013-04-11 |
| 1619246824 | Amanda M Ejka | Psychologist | 11800 South 75th Avenue, Suite 300, Palos Heights, IL 60463 | 2011-12-16 |
| 1578832937 | Sandi Maheras | Pharmacist | 1703 Spyglass Cir, Palos Heights, IL 60463 | 2011-12-14 |
| 1043597065 | Ashraf Olwan | Pharmacist | 7660 W Sequoia Rd, Palos Heights, IL 60463 | 2011-11-04 |
| Find all providers in zip 60463 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679046387 | Dawn M Longo | Nurse Practitioner | 11824 Southwest Hwy Ste 100, Palos Heights, IL 60463-1083 | 2019-01-04 |
| 1134579196 | Jonathan Richard Kross | Nurse Practitioner | 12251 S 80th Ave Ste 1630, Palos Heights, IL 60463-1256 | 2016-06-20 |
| 1558972364 | Anu J Stephen | Nurse Practitioner | 12251 S 80th Ave, Palos Heights, IL 60463-1256 | 2020-08-14 |
| 1306489711 | Allison Marie Reid | Nurse Practitioner | 12251 S 80th Ave, Palos Heights, IL 60463-1256 | 2019-10-18 |
| 1396391231 | Jacquelyn T Torres | Nurse Practitioner | 12820 S Ridgeland Ave, Palos Heights, IL 60463-2388 | 2019-08-15 |
| 1578029013 | Michelle Katherine Panek | Nurse Practitioner | 12251 S 80th Ave, Palos Heights, IL 60463-0930 | 2019-02-19 |
| 1073023263 | Carolyn Mayer | Nurse Practitioner | 12251 S 80th Ave, Palos Heights, IL 60463-1256 | 2017-10-03 |
| 1962888206 | Margaret M Nash | Nurse Practitioner | 7800 W College Dr, Palos Heights, IL 60463-1007 | 2015-08-10 |
| 1063840619 | Taryn T Shelby | Nurse Practitioner | 12251 S 80th Ave, Palos Heights, IL 60463-1256 | 2013-10-17 |
| 1710217930 | Sheri Lynn Paul | Nurse Practitioner | 7300 W College Dr, Suite 205, Palos Heights, IL 60463-1152 | 2010-01-11 |
| Find all providers in PALOS HEIGHTS | ||||
| City | PALOS HEIGHTS |
| Zip Code | 60463 |
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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.