DR. ZACHARY BERG


Address: 3 Saint Elizabeth Blvd Ste 5000, O Fallon, IL 62269-1282
Phone: 6186415803

DR. ZACHARY BERG (NPI# 1255741278) 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) 1255741278
Entity Type Individual
Full Name DR. ZACHARY BERG
Credential M.D.
Practice Address 3 Saint Elizabeth Blvd Ste 5000
O Fallon
IL 62269-1282
Practice Telephone 6186415803
Mailing Telephone 6186415803
Enumeration Date 2014-04-29
Last Update Date 2020-07-01
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RP1001X Internal Medicine
Specialization: Pulmonary Disease
036150902 IL Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Other Providers ZACHARY BERG

NPI Name Taxonomy Address Enumeration
1013303452 Zachary Titus Berg Physical Therapist 1915 Ebenezer Rd, Rock Hill, SC 29732-1013 2015-04-13
1730597758 Zachary Berg Radiology 30 N 1900 E Rm 1a071, Salt Lake City, UT 84132-0002 2014-07-23

Office Location

Street Address 3 SAINT ELIZABETH BLVD STE 5000
City O FALLON
State IL
Zip Code 62269-1282

Providers in the same location

NPI Name Taxonomy Address Enumeration
1902889793 Kostantinos Elias Psihramis Urology 3 Saint Elizabeth Blvd Ste 5000, O Fallon, IL 62269-1282 2005-11-25
1255848214 Elayna Leah Temares Nurse Practitioner 3 Saint Elizabeth Blvd Ste 5000, O Fallon, IL 62269-1099 2017-12-29
1245752211 Joseph Edward Scott Physician Assistant 3 Saint Elizabeth Blvd Ste 5000, O Fallon, IL 62269-1282 2017-07-12
1164956066 Kimberly Burgess Nurse Practitioner 3 Saint Elizabeth Blvd Ste 5000, O Fallon, IL 62269-1282 2017-04-18
1063893949 Maung Htein Thu Urology 3 Saint Elizabeth Blvd Ste 5000, O Fallon, IL 62269-1282 2015-06-16
1023379369 Travis J Junge Orthopaedic Surgery 3 Saint Elizabeth Blvd Ste 5000, O Fallon, IL 62269-1282 2012-06-04
1669785408 Bassim Assioun Internal Medicine 3 Saint Elizabeth Blvd Ste 5000, O Fallon, IL 62269-1282 2010-07-22
1619940640 Randall E Dooley Urology 3 Saint Elizabeth Blvd Ste 5000, O Fallon, IL 62269-1282 2006-02-09

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1326648155 Kayla Revermann Pharmacist 1350 W Us Highway 50, Pharmacy, O Fallon, IL 62269 2020-10-30
1942814272 Ashley Monique Gibson Behavior Technician Eagle Center, Ste 10, Ofallon, IL 62269 2020-09-03
1013533819 Michelle Denise Voudrie Registered Nurse 321 Regency Park, O'fallon, IL 62269 2020-06-18
1598398455 Washington University Physicians In Illinois - Cancer Center Pharmacy Pharmacy 1418 Cross Street, Suite 180, Shiloh, IL 62269 2020-02-19
1962063800 Gerald Paskert Pharmacist 122 W. State St., O'fallon, IL 62269 2019-06-21
1780144808 Bonnie Jean Lampe Physical Therapy Assistant 316 Donna Dr, O'fallon, IL 62269 2019-03-24
1134633993 Latisha Smith Psychologist 600 S. Smiley St., O'fallon, IL 62269 2017-11-30
1619407210 Brenna M Thomas Registered Nurse 1310 Engle Ct, O'fallon, IL 62269 2017-06-15
1881135622 Pc Associates, LLC Family Medicine 800 East Highway 50, O'fallon, IL 62269 2017-03-13
1700230539 Jennifer Farrell Family Medicine 3 St. Elizabeth's Blvd, Ste. 4000, O'fallon, IL 62269 2016-04-18
Find all providers in zip 62269

Taxonomy Information

Taxonomy Code 207RP1001X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Pulmonary Disease

Taxonomy Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1558771220 Christopher Charles Sutton Internal Medicine 3 Saint Elizabeth Blvd, O Fallon, IL 62269-1281 2014-05-05
1245535459 Midwest Acute Care Consultants, PC Internal Medicine 6698 Keaton Corporate Pkwy Ste 101, O Fallon, MO 63368-8727 2011-01-19
1871893834 Midwest Acute Care Consultants Internal Medicine 6698 Keaton Corporate Pkwy, Suite 101, O Fallon, MO 63368-8727 2010-10-25

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1720636202 Pulmonary Associates Ltd Internal Medicine 71 W 156th St Ste 203, Harvey, IL 60426-4262 2019-08-28
1336516467 Hesham A. Hassaballa, Md, Ltd Internal Medicine 109 Symonds Dr Unit 684, Hinsdale, IL 60522-7304 2015-08-24
1497141394 Pulmonary and Critical Care Solutions, LLC Internal Medicine 6116 N 2200 East Rd, Downs, IL 61736-9459 2015-04-08
1861835985 Christie Ann Brillante Internal Medicine 1801 W. Taylor, Suite 3c, Chicago, IL 60612-4795 2013-04-08
1992050850 Thomas Christopher Draghi Internal Medicine 155 Linden Ave, Oak Park, IL 60302-2610 2012-07-17
1144586041 Robert T Zeck Internal Medicine 13141 Lake Mary Dr, Plainfield, IL 60585-2650 2012-04-04
1508160359 Aziz Rahman Md Facp PC Internal Medicine 1050 Martin Luther King Dr, Ste 109, Centralia, IL 62801 2011-01-07
1811211774 Vitalcare Medical Sc Internal Medicine 1146 S Waukegan Rd, Waukegan, IL 60085-6731 2010-03-22
1508095605 Farhan Zaidi Internal Medicine 444 N Northwest Hwy Ste 206, Park Ridge, IL 60068 2009-07-09
1154564607 Kevin Patrick Haas Internal Medicine 840 S Wood St # Mc719, Chicago, IL 60612-4325 2009-04-14
Find all providers with the same taxonomy

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City O FALLON
Zip Code 62269

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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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