AMY BERGHOFF (NPI# 1144617663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1144617663 |
Entity Type | Individual |
Full Name | AMY BERGHOFF |
Credential | PA-C |
Practice Address |
730 45th Ave Munster IN 46321-2818 |
Mailing Address |
Po Box 3329 Munster IN 46321-0329 |
Practice Telephone | 2199243300 |
Practice Fax Number | 2199342658 |
Mailing Telephone | (219) 924-3300 |
Mailing Fax Number | 2199342658 |
Enumeration Date | 2015-04-22 |
Last Update Date | 2017-07-27 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
10001814A | IN | Physician Assistants & Advanced Practice Nursing Providers |
N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
10001814A | IN | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
730 45TH AVE |
City | MUNSTER |
State | IN |
Zip Code | 46321-2818 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861460081 | Robert W Coats | Orthopaedic Surgery | 730 45th Ave, Munster, IN 46321-2818 | 2006-03-14 |
1417475658 | Orthopedic Specialists of Northwest Indiana LLC | Orthopaedic Surgery | 730 45th Ave, Munster, IN 46321 | 2017-09-08 |
1417329707 | Kelly Dejong | Nurse Practitioner | 730 45th Ave, Munster, IN 46321-2818 | 2015-10-26 |
1316233356 | Craig Stewart Best | Physical Medicine & Rehabilitation | 730 45th Ave, Munster, IN 46321-2818 | 2011-06-28 |
1386958361 | Kinnari Vora | Physical Therapist | 730 45th Ave, Munster, IN 46321-2818 | 2010-08-02 |
1326209347 | Daniel Woods | Orthopaedic Surgery | 730 45th Ave, Munster, IN 46321-2818 | 2008-06-23 |
1932369543 | Sunil Dedhia | Orthopaedic Surgery | 730 45th Ave, Munster, IN 46321-2818 | 2008-06-17 |
1891843520 | Jack Gelman | Orthopaedic Surgery | 730 45th Ave, Munster, IN 46321-2818 | 2007-01-08 |
1356418446 | Carla Patrice Watson | Rehabilitation Practitioner | 730 45th Ave, Munster, IN 46321-2818 | 2006-11-30 |
1548364938 | Nancy Ann Frech | Occupational Therapist | 730 45th Ave, Munster, IN 46321-2818 | 2006-09-07 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154959179 | Munster Surgery Center LLC | Clinic/Center | 1950 45thstreet, Unit 101, Munster, IN 46321 | 2020-03-27 |
1467092668 | Barbara Armstrong-whitaker | Counselor | 8855 Columbia Ave, Munster, IN 46321 | 2020-01-15 |
1427537661 | Courtney Szydelko | Physical Therapist | 759 45th St Ste 202, Munster, IN 46321 | 2018-08-08 |
1407341787 | New Harvest Therapy Services, Inc. | Clinic/Center | 8124 Calumet Ave Ste B, Munster, IN 46321 | 2018-06-28 |
1043717945 | Region Eye Care LLC | Optometrist | 10413 Calumet Ave., Munster, IN 46321 | 2018-04-09 |
1003318122 | Jean M Nanos | Psychologist | 8124 Calumet Ave, Munster, IN 46321 | 2018-03-05 |
1841706330 | Avalon Marciniak | Speech-Language Pathologist | 1950 West 45th St., Munster, IN 46321 | 2017-12-19 |
1104330034 | Hinsdale Orthopaedic Associates, S.c. | Orthopaedic Surgery | 8141 S Calumet Ave, Unit 1, Munster, IN 46321 | 2017-11-30 |
1457871774 | Shannon Nicole Riley | Behavior Technician | 8113 Howard Ave., Munster, IN 46321 | 2017-06-27 |
1679017313 | Infomedica | Internal Medicine | 10010 Donald S Powers Dr, Munster, IN 46321 | 2016-12-15 |
Find all providers in zip 46321 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457315590 | Jody Ellis | Physician Assistant | 901 Macarthur Blvd, Radiology Department, Munster, IN 46321-2901 | 2006-04-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063019289 | Timothy Jeffirs | Physician Assistant | 10662 12th Rd, Argos, IN 46501-9551 | 2020-10-01 |
1093321788 | April Marie Przyborski | Physician Assistant | 1701 S Creasy Ln Ste 2j20, Lafayette, IN 47905-4972 | 2020-09-18 |
1124634936 | Brilyn Michelle Banister | Physician Assistant | 8443 Cabin Creek Dr Apt G, Indianapolis, IN 46237-6330 | 2020-09-17 |
1386290625 | Douglas R Day | Physician Assistant | 1701 N Senate Blvd # Ag373a, Indianapolis, IN 46202-1239 | 2019-08-13 |
1841851409 | Rachel Jagrowski | Physician Assistant | 1801 N Senate Blvd Ste 700, Indianapolis, IN 46202-1177 | 2019-06-25 |
1366003154 | Jimmy Garala | Physician Assistant | 101 E 87th Ave Fl A3, Merrillville, IN 46410-7335 | 2019-06-24 |
1407311814 | William Peter Thompson | Physician Assistant | 1801 N Capitol Ave # Npe120, Indianapolis, IN 46202-1217 | 2019-02-11 |
1669954475 | Erika Vanelle Marin | Physician Assistant | 2680 Escalade Way, Warsaw, IN 46582 | 2018-08-29 |
1225518228 | Jie Xu | Physician Assistant | 2072 E Commercial Ave, Lowell, IN 46356-2116 | 2018-08-19 |
1912492679 | Katherine Barrett Tenbarge | Physician Assistant | 1800 N Capitol Ave # E140, Indianapolis, IN 46202-1218 | 2018-06-26 |
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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.