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).
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 |
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 |
Address | Telephone Number | Fax Number |
---|---|---|
4800 Sand Point Way Ne, Oc.7.830, Seattle, WA 98105 | 2069872525 |
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 |
Street Address |
209 MARTIN LUTHER KING JR WAY |
City | TACOMA |
State | WA |
Zip Code | 98405-4265 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 98405 |
Taxonomy Code | 2080P0204X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Pediatric Emergency Medicine |
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. |
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 |
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 |
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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.