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).
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 |
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 |
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 |
Street Address |
3 SAINT ELIZABETH BLVD STE 5000 |
City | O FALLON |
State | IL |
Zip Code | 62269-1282 |
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 |
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 Code | 207RP1001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Pulmonary Disease |
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. |
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 |
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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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.