DR. DAMIEN T BERRY (NPI# 1205199379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205199379 |
| Entity Type | Individual |
| Full Name | DR. DAMIEN T BERRY |
| Credential | M.D., MBA |
| Practice Address |
6335 S East St Indianapolis IN 46227-7112 |
| Mailing Address |
4357 Village Trace Ct Indianapolis IN 46254-6232 |
| Practice Telephone | 2154425045 |
| Mailing Telephone | 2197935227 |
| Enumeration Date | 2012-06-22 |
| Last Update Date | 2015-07-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 01075506A | IN | Allopathic & Osteopathic Physicians |
| Street Address |
6335 S EAST ST |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46227-7112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518415793 | Lanie Kay Pryor | Physician Assistant | 6335 S East St, Indianapolis, IN 46227-7112 | 2016-09-15 |
| 1184099327 | Taylor Dail Jacoby | Physician Assistant | 6335 S East St, Indianapolis, IN 46227-7112 | 2015-12-13 |
| 1861897381 | Jacob Galloway | Physician Assistant | 6335 S East St, Indianapolis, IN 46227-7112 | 2014-10-27 |
| 1417299876 | Genna Leann Carlin | Emergency Medicine | 6335 S East St, Indianapolis, IN 46227-7112 | 2013-03-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679184477 | Zachry Skinner | Specialist/Technologist | 1683 E Hanna Ave, Indianapolis, IN 46227 | 2020-08-14 |
| 1104481415 | Corinne Mcdonald | Music Therapist | 7502 Madison Avenue, Indianapolis, IN 46227 | 2019-05-02 |
| 1205318649 | Kesha Conner | Counselor | 8320 Madison Ave Indianapolis, In, Indianapolis, IN 46227 | 2018-09-01 |
| 1609369719 | Victoria Lynn West Arnold | Physician Assistant | 1550 E County Line Rd Ste 320, Indianapolis, IN 46227 | 2018-06-13 |
| 1518466960 | Debra Cottongim | Physical Therapy Assistant | 6329 South East St, Ste A, Indianapolis, IN 46227 | 2018-02-12 |
| 1962943019 | Fresenius Medical Care Indiana, LLC | Clinic/Center | 6826 Madison Ave, Indianapolis, IN 46227 | 2017-03-09 |
| 1205386687 | Kylie Rochelle Bontrager | Dentist | 3658 East Street, Indianapolis, IN 46227 | 2016-10-10 |
| 1013371137 | Kayla Ford | Occupational Therapist | 3230 Rue Chanel, Apt 162, Indianapolis, IN 46227 | 2016-04-06 |
| 1639551344 | Sara Allyn Shrivastav | Technician, Other | 3711 E Southport Rd, Indianapolis, IN 46227 | 2015-06-18 |
| 1598146565 | Theodore Christian Seger | Family Medicine | 610 E Southport Rd Ste 205, Indianapolis, IN 46227 | 2015-06-15 |
| Find all providers in zip 46227 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508358128 | Antonino Bucca | Emergency Medicine | 720 Eskenazi Ave Bldg 3, Indianapolis, IN 46202-5187 | 2018-05-30 |
| 1124518931 | Evan Mitchell Landry Tomkiewicz | Emergency Medicine | 720 Eskenazi Ave Fl Ft3, Indianapolis, IN 46202-5187 | 2018-05-16 |
| 1114307063 | Grant Fabian Chernoby | Emergency Medicine | 701 N Senate Ave # B401, Indianapolis, IN 46202-3111 | 2015-06-05 |
| 1508203514 | Mark Liao | Emergency Medicine | 1701 N Senate Blvd Rm Ag012, Indianapolis, IN 46202-1239 | 2013-05-30 |
| 1003157322 | Medexpress Urgent Care PC - Indiana | Emergency Medicine | 10863 E Washington St, Indianapolis, IN 46229-2615 | 2013-03-12 |
| 1164763744 | Medexpress Urgent Care PC - Indiana | Emergency Medicine | 4903 S Emerson Ave, Indianapolis, IN 46203-5938 | 2013-03-07 |
| 1972886422 | Barber Hospital LLC | Emergency Medicine | 8125 Knue Rd, Indianapolis, IN 46250-1936 | 2011-09-21 |
| 1225321797 | Seth Benjamin Langsam | Emergency Medicine | 1120 W Michigan St, Cl 260, Indianapolis, IN 46202-5209 | 2011-05-17 |
| 1538480777 | Stephanie M Gardner | Emergency Medicine | 5262 Carrollton Ave, Indianapolis, IN 46220-3181 | 2010-06-22 |
| 1467788208 | Icem, LLC | Emergency Medicine | 340 W 10th St, Indianapolis, IN 46202-3082 | 2009-10-29 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46227 |
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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.