NICHOLAS J. BERG (NPI# 1336122415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336122415 |
| Entity Type | Individual |
| Full Name | NICHOLAS J. BERG |
| Credential | M.D. |
| Practice Address |
1601 Kirkwood Hwy Building 1 Room 221 Wilmington DE 19805-4917 |
| Mailing Address |
1303 Delaware Ave Apt 1514 Wilmington DE 19806-3419 |
| Practice Telephone | 8004618262 |
| Practice Fax Number | 3026335540 |
| Mailing Telephone | 8004618262 |
| Mailing Fax Number | 3026335540 |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2015-10-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | C10006475 | DE | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679102891 | Nicholas James Berg | Student in an Organized Health Care Education/Training Program | 1120 W Michigan St # Cl642, Indianapolis, IN 46202-5209 | 2020-04-08 |
| Street Address |
1601 KIRKWOOD HWY BUILDING 1 ROOM 221 |
| City | WILMINGTON |
| State | DE |
| Zip Code | 19805-4917 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174524565 | Indukumar I Solanki | Radiology | 1601 Kirkwood Hwy, Radiology Service, Wilmington, DE 19805-4917 | 2005-08-09 |
| 1164035515 | Analene Tunacao | Surgery | 1601 Kirkwood Hwy, Wilmington, DE 19805-4917 | 2020-08-26 |
| 1104435163 | Elyse Verdeyen | Physician Assistant | 1601 Kirkwood Hwy, Wilmington, DE 19805-4917 | 2020-07-27 |
| 1609493287 | Jennifer Ann Minnick | Student in an Organized Health Care Education/Training Program | 1601 Kirkwood Hwy, Wilmington, DE 19805-4917 | 2020-06-30 |
| 1639796113 | Leanne Bridget Heuer | Optometrist | 1601 Kirkwood Hwy, Wilmington, DE 19805-4917 | 2020-06-30 |
| 1104441054 | Kristina Andrews | Optometrist | 1601 Kirkwood Hwy, Wilmington, DE 19805-4917 | 2020-06-16 |
| 1073136313 | Henry Mattia Tucker | Social Worker | 1601 Kirkwood Hwy, Wilmington, DE 19805-4917 | 2020-05-21 |
| 1104447184 | Hae Sun Kim | Pharmacist | 1601 Kirkwood Hwy, Wilmington, DE 19805-4917 | 2020-05-01 |
| 1518504075 | Frederick Tibuah | Pathology | 1601 Kirkwood Hwy, Wilmington, DE 19805-4917 | 2019-12-04 |
| 1912549940 | Rachel Klein | Psychologist | 1601 Kirkwood Hwy, Wilmington, DE 19805-4917 | 2019-10-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043854359 | Balanced Life Counseling, LLC | Social Worker | 1621 Howland Street, Wilmington, DE 19805 | 2019-10-30 |
| 1376050468 | Chelsey Bayles | Counselor | 3700 Lancaster Pike, Suite 305, Wilmington, DE 19805 | 2018-01-10 |
| 1629594098 | Laura Sullivan-holland | Registered Nurse | 2713 Lancaster Avenue, Wilmington, DE 19805 | 2017-08-17 |
| 1013362151 | Arthur Andrew Dermen | Student in an Organized Health Care Education/Training Program | 701 North Clayton St, St Francis Hospital - Dept of Family Medicine, Wilmington, DE 19805 | 2016-04-26 |
| 1689031262 | Ivps of Delaware | Specialist | 1305 Kirkwood Highway, Wilmington, DE 19805 | 2016-01-27 |
| 1043689110 | Vitality Chiropractic and Rehabilitation Center | Chiropractor | 807 N Union Street, Wilmington, DE 19805 | 2015-09-18 |
| 1508259425 | Karlou Michael Cartwright | Nurse Practitioner | 1100 South Broom St, Wilmington, DE 19805 | 2015-03-17 |
| 1629494737 | Jennie Strickler | Registered Nurse | 1902 A Maryland Ave., Wilmington, DE 19805 | 2014-03-13 |
| 1487912119 | Jamie Johnson Gellock | Family Medicine | 1802 W 4th Street, Wilmington, DE 19805 | 2012-05-01 |
| 1992089007 | Abigail Triemstra | Speech-Language Pathologist | 1502 Spruce Avenue, Wilmington, DE 19805 | 2011-10-07 |
| Find all providers in zip 19805 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| 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 Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790163434 | Henri Toufic Traboulsi | Otolaryngology | 331 Justison St, Apt 403, Wilmington, DE 19801-5181 | 2015-05-14 |
| 1972830545 | Robert V Fulk Jr. | Otolaryngology | 764 Forest Hills Dr, Wilmington, NC 28403-2510 | 2009-11-03 |
| 1770686214 | Awny Aziz Abdou | Otolaryngology | 1601 Kirkwood Hwy., Attn: Ent, Wilmington, DE 19805 | 2006-09-07 |
| 1891707840 | Sherif B Botros | Otolaryngology | 1625 Doctors Cir, Wilmington, NC 28401-7405 | 2006-08-11 |
| 1184668261 | Emilio R Valdes Jr. | Otolaryngology | 700 N Clayton Street, Otolaryngology Consultants Pa, Wilmington, DE 19899-0993 | 2006-06-16 |
| 1356391593 | Otolaryngology Consultants Pa | Otolaryngology | 700 North Clayton Street, Wilmington, DE 19805 | 2006-05-10 |
| 1548221690 | S E Vonbiberstein | Otolaryngology | 2311 Delaney Rd, Wilmington, NC 28403-6012 | 2006-03-29 |
| 1356344717 | Richard Alan Devore | Otolaryngology | 630 W Main St Ste 300, Wilmington, OH 45177-2172 | 2005-05-31 |
| 1285020495 | Margeaux Rose Corby | Otolaryngology | 2311 Delaney Ave, Wilmington, NC 28403-6012 | 2015-04-14 |
| 1659767028 | Lauren Galinat Bogdan | Otolaryngology | 2300 Pennsylvania Ave, Ste 2a, Wilmington, DE 19806-1379 | 2015-04-12 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 19805 |
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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.