AMY BERGHOFF


Address: 730 45th Ave, Munster, IN 46321-2818
Phone: 2199243300

AMY BERGHOFF (NPI# 1144617663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 730 45TH AVE
City MUNSTER
State IN
Zip Code 46321-2818

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457315590 Jody Ellis Physician Assistant 901 Macarthur Blvd, Radiology Department, Munster, IN 46321-2901 2006-04-14

Providers in the same taxonomy and state

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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Competitor

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City MUNSTER
Zip Code 46321

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Dataset Information

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.

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