MARY BERG (NPI# 1174596522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174596522 |
| Entity Type | Individual |
| Full Name | MARY BERG |
| Credential | MD |
| Practice Address |
12605 E 16th Ave Aurora CO 80045-2545 |
| Mailing Address |
Po Box 110429 Aurora CO 80042-0429 |
| Practice Telephone | 7208480000 |
| Mailing Telephone | 3034937000 |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2012-11-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
36419 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 98133055 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629595228 | Mary Camille Berg | Behavior Technician | 1408 20th Ave Sw Ste 7, Minot, ND 58701-6494 | 2017-08-24 |
| 1841483849 | Mary Gilbert Berg | Physical Therapist | 378 Middle Rd, Falmouth, ME 04105-1231 | 2007-08-22 |
| 1043331390 | Mary Berg | Nurse Practitioner | 10653 Douglas Ln, Nevada City, CA 95959-9010 | 2007-04-03 |
| 1790899839 | Mary Papez Berg | Dentist | 601 W Moana Ln, Suite 7, Reno, NV 89509-4955 | 2006-08-18 |
| 1477530871 | Mary Charlene Berg | Nurse Anesthetist, Certified Registered | 3535 S Interstate 35 E, Denton, TX 76210-6850 | 2005-12-27 |
| 1336352939 | Mary Eileen Berg | Nurse Practitioner | 600 N Mountain Ave, Suite A104, Upland, CA 91786-4359 | 2007-05-08 |
| 1245372648 | Mary Jean Berg | Emergency Medicine | 1100 Carson Ave, La Junta, CO 81050-2751 | 2007-02-13 |
| 1487724290 | Mary A Berg | Family Medicine | 1312 Prentice Drive, Healdsburg, CA 95448 | 2006-11-09 |
| 1932210879 | Mary H Berg | Psychiatry & Neurology | 158 Zillicoa St, Asheville, NC 28801-1079 | 2006-08-31 |
| 1174524391 | Mary Ellen Berg | Ophthalmology | 471 Ashley Ridge Blvd, Shreveport, LA 71106 | 2005-08-10 |
| Street Address |
12605 E 16TH AVE |
| City | AURORA |
| State | CO |
| Zip Code | 80045-2545 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477556694 | Mark Armin Levine | Internal Medicine | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2005-05-23 |
| 1962001719 | Poudre Valley Medical Group, LLC | Social Worker | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2020-10-22 |
| 1811595473 | Jason Hayes | Nurse Practitioner | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2020-10-15 |
| 1710584560 | Alleson Bayer | Nurse Practitioner | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2020-10-05 |
| 1316554009 | Lisa Najera | Nurse Practitioner | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2020-09-26 |
| 1699382705 | James Lloyd Martin Jr. | Pharmacy | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2020-09-23 |
| 1740808575 | Beth Lee Smilkstein | Physician Assistant | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2020-07-08 |
| 1780200907 | Amanda Marie Miller-sarmento | Nurse Practitioner | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2020-06-23 |
| 1558987909 | Heather Ann Sutton | Counselor | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2020-06-22 |
| 1982220349 | Rocco James Miele | Nurse Practitioner | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2020-06-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942817408 | Salwa Mourtada Bamba | Nurse Practitioner | University of Colorado Medicine, 12631 East 17th Avenue, Aurora, CO 80045 | 2020-09-29 |
| 1114545233 | Chun Cheong Tsui | Student in an Organized Health Care Education/Training Program | 12801 E. 17th Avenue, Ms 8117, Aurora, CO 80045 | 2020-07-07 |
| 1487278719 | James Charles Tuka IIi | Social Worker | 1700 North Wheeling, Aurora, CO 80045 | 2020-06-02 |
| 1427677806 | Justin Yu | Student in an Organized Health Care Education/Training Program | 12631 E. 17th Ave. Ms B205, Aurora, CO 80045 | 2020-04-15 |
| 1558980011 | Erik Von Polsdofer | Student in an Organized Health Care Education/Training Program | Academic Office 1; Department of Pathology, 12631 East 17th Avenue, Aurora, CO 80045 | 2020-04-14 |
| 1831718568 | Luke Porter Bacon | Student in an Organized Health Care Education/Training Program | 3001 East 17th Place, Aurora, CO 80045 | 2020-04-13 |
| 1366061368 | Hilary Novatt | Student in an Organized Health Care Education/Training Program | 12631 E 17th Ave, B198-6, Room 4007, Aurora, CO 80045 | 2020-04-10 |
| 1376195362 | Katie Tuck | Pharmacist | 1700 North Wheeling Street (119), Fs-111o, Aurora, CO 80045 | 2019-07-10 |
| 1518529130 | Ronak Kamal Kapadia | Student in an Organized Health Care Education/Training Program | 12700 E. 19th Ave, Ms B182 Rm 5104, Aurora, CO 80045 | 2019-07-03 |
| 1245898253 | Rasha Elbadry Ahmed | Student in an Organized Health Care Education/Training Program | Childrens Hospital Colorado Pediatric Neurosurgery, 13123e. 16th Ave, B330, Aurora, CO 80045 | 2019-06-04 |
| Find all providers in zip 80045 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861710030 | Julie Ann Rosser | Pathology | 12631 E 17th Ave # 80045, Academic Office 1, Room L15-2215, Mail Stop B-216, Aurora, CO 80045-2527 | 2010-05-12 |
| 1154477743 | Kelley Elizabeth Capocelli | Pathology | 13123 East 16th Ave, The Children's Hospital, Aurora, CO 80045-7106 | 2007-01-26 |
| 1881075398 | Brian L Harry | Pathology | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2015-06-11 |
| 1689060998 | Ashley Greer | Pathology | 13001 E 17th Pl, Aurora, CO 80045-2570 | 2015-04-13 |
| 1376962399 | Lindsey Westbrook | Pathology | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2014-04-08 |
| 1285071845 | Patrick Andrew Henn | Pathology | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2013-05-22 |
| 1518303619 | Lauren Mclemore | Pathology | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2013-05-15 |
| 1366705022 | Evan William Sell | Pathology | 12631 E 17th Ave, Department of Pathology, Mail Stop 8104, Aurora, CO 80045-2527 | 2012-06-19 |
| 1215297874 | Gregary Bocsi | Pathology | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2012-05-16 |
| 1376802025 | Edward Kelly Steven Mrachek | Pathology | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2012-05-15 |
| Find all providers in AURORA | ||||
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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.