JAY BERDIA (NPI# 1114260163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114260163 |
| Entity Type | Individual |
| Full Name | JAY BERDIA |
| Credential | MD |
| Practice Address |
2531 Erwin Rd Durham NC 27705 |
| Mailing Address |
508 Douglas St Durham NC 27705-3887 |
| Practice Telephone | 6312355667 |
| Practice Fax Number | 6312355667 |
| Mailing Telephone | (631) 235-5667 |
| Enumeration Date | 2013-03-28 |
| Last Update Date | 2017-07-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 2017-00822 | NC | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
2531 ERWIN RD |
| City | DURHAM |
| State | NC |
| Zip Code | 27705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371755 | Tyler Beach, Lcsw, Pllc | Social Worker | 2740 Spencer Street, Durham, NC 27705 | 2019-11-20 |
| 1720635477 | Brittany W Fry | Registered Nurse | 2301 Erwin Road, Hafs Building, Room 6670, Durham, NC 27705 | 2019-08-19 |
| 1760968044 | Nicole D Moore | Social Worker | 1921 N. Pointe Dr, Suite 280, Durham, NC 27705 | 2018-07-19 |
| 1144757097 | Emileigh S Dowling | Physical Therapist | 3475 Erwin Rd Bldg 2, Durham, NC 27705 | 2017-05-22 |
| 1487195350 | Daniel Lynch | Physical Therapist | 3475 Erwin Road, Pepsico Building, Durham, NC 27705 | 2017-03-13 |
| 1780131839 | Michael A Fitzpatrick Iv | Physical Therapist | 3475 Erwin Rd Bldg 2nd, Durham, NC 27705 | 2016-09-07 |
| 1609241736 | Julia Power Constant | Physician Assistant | Dumc Box 3913, Durham, NC 27705 | 2015-12-01 |
| 1518344159 | Amanda Clark Coniglio | Internal Medicine | 2301 Erwin Rd # 3845, Durham, NC 27705 | 2015-05-04 |
| 1720486988 | Jennifer Dawn Pace | Physician Assistant | 1821 Hillandale Road Suite 24a, Duke Urgent Care, Durham, NC 27705 | 2014-12-19 |
| 1942612106 | Rachel Hibberd | Psychologist | 508 Fulton Avenue, Durham Va Medical Center, Durham, NC 27705 | 2014-05-22 |
| Find all providers in zip 27705 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598221848 | Eye Physicians and Surgeons of Durham, Pllc | Ophthalmology | 3811 North Roxboro Street, Durham, NC 27704-5800 | 2019-02-12 |
| 1801271457 | Asghar Haider | Ophthalmology | 2351 Erwin Road, Durham, NC 27710-3036 | 2015-07-24 |
| 1912266404 | Andrew Freeman Perin | Ophthalmology | 2351 Erwin Road/hudson Building, Duke Eye Center, Attn: Andrew Perin, Md, Durham, NC 27705 | 2012-05-03 |
| 1184980609 | Varsha Manjunath | Ophthalmology | 270 Leigh Farm Rd, Apt 408, Durham, NC 27707-8137 | 2012-04-10 |
| 1043449218 | Zena I-linn Lim | Ophthalmology | Duke University Medical Center 3802, 2351 Erwin Road, Durham, NC 27710-0001 | 2009-07-09 |
| 1831356716 | Anna Hong Bordelon | Ophthalmology | 2351 Erwin Road Dumc Box 3802, Durham, NC 27710-0001 | 2008-05-19 |
| 1023285988 | Preeya Kshettry Gupta | Ophthalmology | 2351 Erwin Rd # Dumc3802, Durham, NC 27705-4699 | 2008-05-09 |
| 1871777953 | Sasapin Grace Prakalapakorn | Ophthalmology | 2351 Erwin Rd; Dumc 3802, Duke Eye Center; Attn: Kimberly Horton, Durham, NC 27710-0001 | 2007-12-25 |
| 1326247545 | Joseph Nissim Martel | Ophthalmology | Duke Eye Ctr, Dumc 3802, Durham, NC 27710-0001 | 2007-07-17 |
| 1871702530 | Thomas George Hunter | Ophthalmology | 2100 Erwin St, Durham, NC 27710-0001 | 2007-05-21 |
| Find all providers in DURHAM | ||||
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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.