DR. JESSICA BERG (NPI# 1194971127) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194971127 |
| Entity Type | Individual |
| Full Name | DR. JESSICA BERG |
| Credential | D.O. |
| Practice Address |
1840 Mease Dr Suite 110 Safety Harbor FL 34695-6602 |
| Mailing Address |
Po Box 25317 Tampa FL 33622-5317 |
| Practice Telephone | 7273767734 |
| Practice Fax Number | 7274085336 |
| Mailing Telephone | 8132860033 |
| Mailing Fax Number | 8132821806 |
| Enumeration Date | 2008-08-11 |
| Last Update Date | 2012-10-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | OS11643 | FL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942572219 | Jessica Hanson Berg | Physician Assistant | 808 S Buchanan St, Amarillo, TX 79101-3604 | 2012-02-02 |
| 1063041705 | Jessica Jo Berg | Massage Therapist | 203 Park Ave S Ste 101, Saint Cloud, MN 56301-6216 | 2020-04-04 |
| 1891346755 | Jessica Lynn Berg | Nurse Anesthetist, Certified Registered | 401 E Spruce St, Garden City, KS 67846-5679 | 2019-09-23 |
| 1457864506 | Jessica Berg | Physician Assistant | 120 Spalding Dr Ste 207, Naperville, IL 60540-6520 | 2017-11-12 |
| 1003355611 | Jessica Danielle Berg | Licensed Vocational Nurse | 2801 Meadow Lark Dr, San Diego, CA 92123-2709 | 2017-02-15 |
| 1770930208 | Jessica Berg | Dietitian, Registered | 10105 N Bridgewater Cir, Owasso, OK 74055-7727 | 2016-05-13 |
| 1003210097 | Jessica Beth Berg | Social Worker | 2025 Washington St, Waukegan, IL 60085-5131 | 2014-10-20 |
| 1760696942 | Jessica Jo Berg | Audiologist | 1220 Division Ave, Tacoma, WA 98403-1321 | 2007-05-09 |
| 1821155771 | Jessica Maree Berg | Counselor | 15600 Redmond Way, Suite 101, Redmond, WA 98052-3862 | 2007-01-02 |
| Street Address |
1840 MEASE DR SUITE 110 |
| City | SAFETY HARBOR |
| State | FL |
| Zip Code | 34695-6602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508861121 | Robert T Roth | Surgery | 1840 Mease Dr, Suite 301, Safety Harbor, FL 34695-6602 | 2005-06-20 |
| 1336751114 | Daniela Lomba | Nurse Practitioner | 1840 Mease Dr, Safety Harbor, FL 34695-6602 | 2020-08-21 |
| 1407201346 | Advanced Urology Institute | Non-Pharmacy Dispensing Site | 1840 Mease Dr, Suite 300, Safety Harbor, FL 34695-6602 | 2016-04-28 |
| 1720442940 | Jackson E. Tillquist | Registered Nurse | 1840 Mease Dr, Suite 200, Safety Harbor, FL 34695-6602 | 2016-04-13 |
| 1326444092 | Margaret Lukez | Nurse Practitioner | 1840 Mease Dr, Suite 319, Safety Harbor, FL 34695-6605 | 2014-11-07 |
| 1518370345 | Countryside Pediatric Care, P.a. | Pediatrics | 1840 Mease Dr, Suite: 405, Safety Harbor, FL 34695-6602 | 2014-06-10 |
| 1679907042 | Christina Laura Marcucci | Physician Assistant | 1840 Mease Dr, Ste 300, Safety Harbor, FL 34695-6602 | 2013-08-21 |
| 1043551328 | Lisa Marie Lauderdale | Nurse Practitioner | 1840 Mease Dr, Suite 402, Safety Harbor, FL 34695-6602 | 2013-03-11 |
| 1922346816 | James P Desmarais | Nurse Practitioner | 1840 Mease Dr, Suite 319, Safety Harbor, FL 34695-6602 | 2013-01-28 |
| 1073851531 | Rajani Medical Group LLC | Internal Medicine | 1840 Mease Dr, Ste 401b, Safety Harbor, FL 34695-6602 | 2013-01-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467931071 | Joli Beauchamp | Occupational Therapy Assistant | 1410 Dr Martin Luther King Jr St. North, Safety Harbor, FL 34695 | 2018-08-14 |
| 1912494733 | Bryan Singleton | Occupational Therapist | 1410 Dr. M, Dr Martin Luther King Jr Street North, Safety Harbor, FL 34695 | 2018-04-17 |
| 1639673007 | Jessica Rojas | Occupational Therapy Assistant | 1410 Dr. Martin Luther King St N, Safety Harbor, FL 34695 | 2018-03-21 |
| 1326547365 | Heather Anne Ramous | Nurse Practitioner | 1840 Mease Dr Ste 307, Safety Harbor, FL 34695 | 2018-02-05 |
| 1922531730 | Jessica Robin Sternberg | Physical Therapy Assistant | 1410 Dr. Martin Luther King Jr. Street North, Safety Harbor, FL 34695 | 2017-04-07 |
| 1861863102 | Pamela Guida | Physical Therapy Assistant | 1410 Dr M L King Jr St N, Safety Harbor, FL 34695 | 2015-10-13 |
| 1962888792 | Lauren Ramos | Nurse Practitioner | 1840 Mease Dr., Suite 204, Palm Harbor, FL 34695 | 2015-08-04 |
| 1306285010 | Paulas Madhusudan Vyas | Urology | 1840 Mease Dr Ste 300, Safety Harbor, FL 34695 | 2013-06-17 |
| 1871803643 | Bridget Stirling Tyrka | Contractor | 1045 3rd St N, Safety Harbor, FL 34695 | 2010-10-14 |
| 1326211574 | Helen L. Techler | Audiologist | 583 Main Street, Suite A, Safety Harbor, FL 34695 | 2008-04-09 |
| Find all providers in zip 34695 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073880134 | Sarah Beth Shelden | Obstetrics & Gynecology | 1840 Mease Dr, Suite 110, Safety Harbor, FL 34695-6602 | 2011-11-17 |
| 1134440274 | Christy Leigh Nolan | Obstetrics & Gynecology | 1840 Mease Dr, Safety Harbor, FL 34695-6602 | 2010-06-11 |
| 1518286319 | Lauren Moorhead | Obstetrics & Gynecology | 1840 Mease Dr, Safety Harbor, FL 34695 | 2010-05-19 |
| 1891813218 | Jennifer Evans Watson | Obstetrics & Gynecology | 1840 Mease Dr, Suite 110, Safety Harbor, FL 34695-6602 | 2007-03-26 |
| 1902892953 | Aaron T Williams | Obstetrics & Gynecology | 1840 Mease Dr, Suite 110, Safety Harbor, FL 34695-6602 | 2005-09-26 |
| 1629064670 | Joshua Goldman | Obstetrics & Gynecology | 1840 Mease Dr, Suite 110, Safety Harbor, FL 34695-6602 | 2005-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649884081 | Radiance Center for Obstetrics and Gynecology LLC | Obstetrics & Gynecology | 653 E Jackson St, Orlando, FL 32801-2809 | 2020-09-02 |
| 1689282162 | Healing Hands Healthcare Services, LLC | Obstetrics & Gynecology | 1900 N Bayshore Dr Apt 2411, Miami, FL 33132-3012 | 2020-07-21 |
| 1790306256 | Mia Donna LLC | Obstetrics & Gynecology | 7100 W 20th Ave Ste 304, Hialeah, FL 33016-1812 | 2020-05-06 |
| 1386265254 | Swfl Integrative Medicine, P.a. | Obstetrics & Gynecology | 1570 Colonial Blvd Ste A, Fort Myers, FL 33907-1031 | 2020-05-02 |
| 1134740061 | Horizon Family Medical Practice LLC | Obstetrics & Gynecology | 1236 Royal Palm Beach Blvd Ste 108, Royal Palm Beach, FL 33411-1602 | 2020-05-01 |
| 1689209991 | Earl Brewster Md Pa | Obstetrics & Gynecology | 101 N 8th St Ste 1001, Lake Mary, FL 32746-3101 | 2020-03-06 |
| 1386276319 | Robert Suruncle Pllc | Obstetrics & Gynecology | 8255 N Wickham Rd Ste 102, Melbourne, FL 32940-8202 | 2020-02-07 |
| 1376182329 | Moment Health Care Inc | Obstetrics & Gynecology | 6464 N Miami Ave, Miami, FL 33150-4520 | 2019-12-21 |
| 1043858012 | Medical Vitality Clinic LLC | Obstetrics & Gynecology | 1845 Cordova Rd Ste 204, Fort Lauderdale, FL 33316-6100 | 2019-12-20 |
| 1679124986 | Brenda Sison Wilkinson | Obstetrics & Gynecology | 2050 Ackola Pt, Longwood, FL 32779-3112 | 2019-09-27 |
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| City | SAFETY HARBOR |
| Zip Code | 34695 |
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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.