TAMERA BERGET (NPI# 1124083779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124083779 |
| Entity Type | Individual |
| Full Name | TAMERA BERGET |
| Credential | PA-C |
| Practice Address |
2275 Deming Way Middleton WI 53562-5527 |
| Mailing Address |
202 S Park St Madison WI 53715-1507 |
| Practice Telephone | 6084178388 |
| Practice Fax Number | 6084178389 |
| Mailing Telephone | 6084176000 |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2014-12-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
1284-23 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CAQH | 11886466 | 01 | |
| WI | 42994600 | 05 |
| Street Address |
2275 DEMING WAY |
| City | MIDDLETON |
| State | WI |
| Zip Code | 53562-5527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861457525 | Jeffrey J Everson | Physician Assistant | 2275 Deming Way, Middleton, WI 53562-5527 | 2006-04-18 |
| 1417476664 | Allyson C. Mcbride | Social Worker | 2275 Deming Way, Middleton, WI 53562 | 2017-09-19 |
| 1992193924 | Amanda Hansen | Specialist/Technologist | 2275 Deming Way, Middleton, WI 53562-5527 | 2014-12-29 |
| 1184967382 | Andrea H. Hewitt | Registered Nurse | 2275 Deming Way, Middleton, WI 53562-5527 | 2013-04-05 |
| 1457691396 | Edward James Rataj | Marriage & Family Therapist | 2275 Deming Way, Middleton, WI 53562-5527 | 2013-02-28 |
| 1174805022 | Christy Staats | Nurse Practitioner | 2275 Deming Way, Suite 220, Middleton, WI 53562-5527 | 2011-09-16 |
| 1396025755 | Izabela Skorska | Social Worker | 2275 Deming Way, Middleton, WI 53562 | 2011-08-17 |
| 1447481056 | Amber B Reynolds | Physician Assistant | 2275 Deming Way, Middleton, WI 53562-5527 | 2009-07-30 |
| 1972753283 | Seyed Hosseini | Dentist | 2275 Deming Way, #180, Middleton, WI 53562-5527 | 2008-09-23 |
| 1588814891 | Christian S. Kammer | Dentist | 2275 Deming Way, #180, Middleton, WI 53562-5527 | 2008-09-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770143802 | Taylor Moore | Chiropractor | 6629 University Ave Ste 101, Middleton, WI 53562 | 2019-06-20 |
| 1558861302 | Nissenbaum and Schleusner Pro Physical Therapy LLC | Physical Therapist | 6649 University Ave Ste 100, Middleton, WI 53562 | 2018-02-19 |
| 1750804514 | University of Wisconsin Hospitals and Clinics Authority | Pharmacy | 3185 Deming Way, Middleton, WI 53562 | 2017-07-24 |
| 1285165803 | Julie Zimmerman | Pharmacist | 7414 Voss Pkwy, Middleton, WI 53562 | 2017-03-24 |
| 1982072773 | Gina Craig | Physical Therapist | 2521 Allen Boulevard, Middleton, WI 53562 | 2015-09-10 |
| 1588030464 | Nicholas Capote | Pharmacist | 600 Highland Avenue, F6/133, Madison, WI 53562 | 2015-08-14 |
| 1679975734 | Emily Herzog | Nurse Practitioner | 7248 Squire Cir, Middleton, WI 53562 | 2014-09-20 |
| 1942620752 | Brooke Michelle Moungey | Emergency Medicine | 8540 Greenway Blvd, Middleton, WI 53562 | 2014-04-18 |
| 1962820027 | Jennifer Ciske Larson | Ophthalmology | 2349 Deming Way Deming Way Eye Clinic, Middleton, WI 53562 | 2014-04-04 |
| 1740525971 | Sara E.m. Nichols | Veterinarian | 1612 N. High Point Rd., Middleton, WI 53562 | 2012-11-28 |
| Find all providers in zip 53562 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861457525 | Jeffrey J Everson | Physician Assistant | 2275 Deming Way, Middleton, WI 53562-5527 | 2006-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821612045 | Cassidy Renee Thomas | Physician Assistant | 1111 Delafield St Ste 209, Waukesha, WI 53188-3403 | 2020-06-03 |
| 1982056768 | Luke Harbers | Physician Assistant | 6226 Bankers Rd Ste 11, Mount Pleasant, WI 53403-9799 | 2016-07-06 |
| 1093085664 | Abraham David Pacheco | Physician Assistant | 3246 S 35th St, Milwaukee, WI 53215-4156 | 2012-01-12 |
| 1346577954 | Darren Rosser | Physician Assistant | 2931 S 108th St, West Allis, WI 53227-3519 | 2009-11-03 |
| 1033359401 | Matthew S. Bay | Physician Assistant | 1818 N. Meade St Suite 240 West, Fox Valley Surgical Associates, Appleton, WI 54911-3496 | 2009-02-25 |
| 1265657068 | Surgical and Rehab Services Inc | Physician Assistant | E4051 Steven Way, Spring Green, WI 53588-9271 | 2007-04-16 |
| 1992844385 | Jill Ann Schumacher | Physician Assistant | 2265 90th St, Eau Claire, WI 54703-0181 | 2007-02-05 |
| 1609915073 | Brian Felix Robinson | Physician Assistant | S725 Turner Valley Rd, Mondovi, WI 54755-8331 | 2007-02-05 |
| 1124176383 | William Henry Price | Physician Assistant | 4819 5th Ave, Unit 2, Kenosha, WI 53140-2924 | 2007-01-06 |
| 1619032919 | Michael R Depew | Physician Assistant | 1650 S. 41st St., Lakeshore Orthopedics, Manitowoc, WI 54220 | 2006-12-27 |
| Find all providers with the same taxonomy | ||||
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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.