JONATHAN PAUL BERRY


Address: 209 Martin Luther King Jr Way, Tacoma, WA 98405-4265
Phone: 2535963300

JONATHAN PAUL BERRY (NPI# 1194119115) 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) 1194119115
Entity Type Individual
Full Name JONATHAN PAUL BERRY
Credential M.D.
Practice Address 209 Martin Luther King Jr Way
Tacoma
WA 98405-4265
Practice Telephone 2535963300
Practice Fax Number 2535963301
Mailing Telephone 2535963300
Mailing Fax Number 2535963301
Enumeration Date 2015-03-27
Last Update Date 2020-03-31
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 208000000X Pediatrics ML60562628 WA Allopathic & Osteopathic Physicians
Y 2080P0204X Pediatrics
Specialization: Pediatric Emergency Medicine
MD60847137 WA Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
4800 Sand Point Way Ne, Oc.7.830, Seattle, WA 98105 2069872525

Other Providers JONATHAN BERRY

NPI Name Taxonomy Address Enumeration
1972114775 Jonathan Berry Technician 1837 Sand Plant Rd, South Charleston, WV 25309-6027 2020-08-14
1952480824 Jonathan R. Berry Orthopaedic Surgery S74 W16775 Janesville Rd., Muskego, WI 53150-7742 2006-11-03
1073130357 Jonathan Berry Occupational Therapist 3421 S Shades Crest Rd Ste 107, Hoover, AL 35244-3551 2020-07-02
1942839824 Jonathan Berry Student in an Organized Health Care Education/Training Program 1501 Kings Highway, Otolaryngology, Shreveport, LA 71130-3932 2020-04-03
1346731932 Jonathan Thomas Berry Student in an Organized Health Care Education/Training Program 612 S 12th St, Fort Smith, AR 72901-4702 2018-05-20
1942705587 Jonathan L Berry Student in an Organized Health Care Education/Training Program 20201 Crawford Ave, Olympia Fields, IL 60461-1010 2018-03-26
1245768860 Jonathan Lee Berry Internal Medicine 330 Brookline Ave, Boston, MA 02215-5400 2017-05-26
1982954582 Jonathan Miguel Berry Occupational Therapist 2450 Riverside Ave, Minneapolis, MN 55454-1450 2012-09-12
1336213933 Jonathan W. Berry Psychiatry & Neurology 2100 Napa Vallejo Hwy, Napa, CA 94558-6234 2006-11-17
1235237926 Jonathan Jordan Berry Internal Medicine 3200 Northline Ave, Suite 250, Greensboro, NC 27408-7616 2006-09-20

Office Location

Street Address 209 MARTIN LUTHER KING JR WAY
City TACOMA
State WA
Zip Code 98405-4265

Providers in the same location

NPI Name Taxonomy Address Enumeration
1699750919 Mark Walther Physician Assistant 209 Martin Luther King Jr Way, Tacoma, WA 98405-4265 2005-12-09
1992323539 Rida Fatima Student in an Organized Health Care Education/Training Program 209 Martin Luther King Jr Way, Tacoma, WA 98405-4265 2020-07-09
1518589936 Kaiser Foundation Health Plan of Washington Clinic/Center 209 Martin Luther King Jr Way, Tacoma, WA 98405-4265 2020-05-07
1659911592 Annika Kathryn Kohlmeier Student in an Organized Health Care Education/Training Program 209 Martin Luther King Jr Way, Tacoma, WA 98405-4265 2020-01-08
1124685540 Sarah Rose Advanced Practice Midwife 209 Martin Luther King Jr Way, Tacoma, WA 98405-4265 2019-05-21
1114412244 Stacy Ann Beckman Physician Assistant 209 Martin Luther King Jr Way, Tacoma, WA 98405-4265 2018-07-01
1821582685 Megan Vock Registered Nurse 209 Martin Luther King Jr Way, Tacoma, WA 98405-4265 2018-06-15
1639666118 Stephanie Lynne Shah Physician Assistant 209 Martin Luther King Jr Way, Tacoma, WA 98405-4265 2018-04-19
1780114744 Jason Chau Pharmacist 209 Martin Luther King Jr Way, Tacoma, WA 98405 2017-06-13
1275074932 Lisa Michelle Coleman Social Worker 209 Martin Luther King Jr Way, Tacoma, WA 98405-4265 2017-03-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609486026 Joanna Christine Hope Physician Assistant 2502 S Union Avenue, Tacoma, WA 98405 2020-08-01
1467077891 Richard Jimenez Student in an Organized Health Care Education/Training Program 1202 M.l.k. Jr Way Suite #310, Tacoma, WA 98405 2020-06-11
1669008785 Mariana Sanchez Corona Behavior Technician 1901 S Union Ave Allenmore Building B, Tacoma, WA 98405 2020-03-20
1811534845 Jasmine Gregory Social Worker 311 Martin Luther King Jr. Way, Ms:315-c2-php, Tacoma, WA 98405 2019-12-10
1548807506 Holly Rebecca Brezynski Student in an Organized Health Care Education/Training Program Fresenius Kindney Care - Home Therapies Department, 1717 South J Street, Tacoma, WA 98405 2019-12-09
1972064392 Logan Brau Student in an Organized Health Care Education/Training Program 1202 M.l.k. Jr Way, Tacoma, WA 98405 2019-03-28
1629532536 Preferred Orthotic and Prosthetic Services Inc Prosthetic/Orthotic Supplier 1708 Yakima Ave Ste 60, Tacoma, WA 98405 2019-01-24
1669945911 Heidi Weakley Counselor 1001 S Yakima Ave, Suite 5, Tacoma, WA 98405 2019-01-09
1972074011 Taviance Benet Laster Behavior Technician 1416 S 9th St, Tacoma, WA 98405 2018-12-16
1336618040 Bailey Bangerter Physician Assistant 1901 South Union, A-233, Tacoma, WA 98405 2018-11-26
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Taxonomy Information

Taxonomy Code 2080P0204X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Emergency Medicine

Taxonomy Definition

A pediatrician who has special qualifications to manage emergencies in infants and children.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1952328452 Robert D Kregenow Pediatrics 317 Martin Luther King Jr Way, Tacoma, WA 98405-4234 2006-07-17
1093768194 Multicare Health System Pediatrics 317 Martin Luther King Jr Way, Tacoma, WA 98405-4234 2006-05-18

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1023403698 Siobhan Thomas-smith Pediatrics 4800 Sand Point Way Ne # Oc.7830, Seattle, WA 98105 2015-04-01
1700299856 Alexander M Stephan Pediatrics 4800 Sand Point Way Ne, Seattle, WA 98105-3901 2014-06-06
1770920381 William Benjamin Prince Pediatrics 4800 Sand Point Way Ne, Seattle, WA 98105 2013-05-23
1578838751 Ashley Elizabeth Keilman Pediatrics 4800 Sand Point Way Ne # A-5950, Seattle, WA 98105 2012-03-20
1932408119 Hiromi Yoshida Pediatrics 4800 Sand Point Way Ne, Mb.7.520, Seattle, WA 98105 2011-03-27
1861710568 Anita Anne Thomas Pediatrics 4800 Sand Point Way Ne, Mb.7.520, Seattle, WA 98105-3901 2010-05-06
1386961043 Providence Physician Services Co Pediatrics 101 W 8th Ave, Spokane, WA 99204-2307 2010-04-21
1912149527 Anne C Slater Pediatrics 4800 Sand Point Way Ne, Seattle, WA 98105-3901 2009-03-27
1093973083 Lori Ellen Rutman Pediatrics 4800 Sand Point Way Ne, M/s Mb.7.520, Seattle, WA 98105-3901 2008-05-28
1730376518 Brian Hyun Park Pediatrics 747 Broadway, Seattle, WA 98122-4379 2007-09-26
Find all providers with the same taxonomy

Competitor

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City TACOMA
Zip Code 98405

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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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