DR. RICHARD BERRY (NPI# 1346636628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346636628 |
| Entity Type | Individual |
| Full Name | DR. RICHARD BERRY |
| Credential | MD |
| Practice Address |
9500 Mentor Ave Ste 100 Mentor OH 44060 |
| Mailing Address |
7590 Auburn Rd Suite 014 Concord Twp OH 44077-9176 |
| Practice Telephone | 4403524880 |
| Practice Fax Number | 4403523629 |
| Mailing Telephone | 4403541899 |
| Mailing Fax Number | 4403541845 |
| Enumeration Date | 2015-04-13 |
| Last Update Date | 2018-11-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 35.132533 | OH | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | OH | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2500 Metrohealth Dr, Cleveland, OH 441091900 | 2167784486 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053797753 | Richard Berry Jr. | Pharmacist | 3332 Kindle Ave, The Villages, FL 32163-2480 | 2015-08-04 |
| 1508821992 | Richard Garth Berry | Specialist | 109 N Jk Powell Blvd, Whiteville, NC 28472-3123 | 2006-04-19 |
| 1538141924 | Richard W Berry | Family Medicine | 631 W 38th St, Austin, TX 78705-1250 | 2005-11-19 |
| 1497756183 | Richard S Berry | Specialist | 2820 Ocean Pkwy, Brooklyn, NY 11235-7958 | 2005-08-03 |
| 1215481817 | Richard Scott Berry | Pharmacist | 9001 Two Notch Rd, Columbia, SC 29223-5834 | 2016-08-11 |
| 1174960918 | Richard Kent Berry | Physical Therapist | 950 E Riggs Rd, Ste 1, Chandler, AZ 85249-5399 | 2013-06-03 |
| 1144502659 | Richard Berry | Case Manager/Care Coordinator | 522 Mill Rd, Clarksville, AR 72830-8511 | 2011-09-12 |
| 1528384864 | Richard Cecil Berry | Social Worker | 297 Independence Blvd, Suite 126, Virginia Beach, VA 23462-2911 | 2010-04-12 |
| 1922323070 | Richard M. Berry | Marriage & Family Therapist | 21250 Box Springs Rd, Suite 106, Moreno Valley, CA 92557-8705 | 2010-04-01 |
| 1033260237 | Richard Andy Berry | Dentist | 131 Main St, Medway, MA 02053-1576 | 2007-01-15 |
| Street Address |
9500 MENTOR AVE STE 100 |
| City | MENTOR |
| State | OH |
| Zip Code | 44060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467762989 | Kristin G Biddell | Nurse Practitioner | 9500 Mentor Ave Ste 100, Mentor, OH 44060 | 2010-10-18 |
| 1396284873 | Lucille E Zappitelli-sason | Nurse Practitioner | 9500 Mentor Ave Ste 100, Mentor, OH 44060-8702 | 2017-02-17 |
| 1932507092 | Jordan Smith | Physician Assistant | 9500 Mentor Ave Ste 100, Mentor, OH 44060-8702 | 2014-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093364143 | Pamela Adams | Technician | 6079 Center St, Mentor, OH 44060 | 2019-09-10 |
| 1255800298 | Brittani Joy Lumpkin | Community/Behavioral Health | 9220 Mentor Road., Mentor, OH 44060 | 2018-11-20 |
| 1043726763 | Sharon Bollinger | Counselor | 7232 Tyler Blvd., Mentor, OH 44060 | 2017-12-18 |
| 1255863635 | Mentor Health and Rehabilitation Center, Inc. | Skilled Nursing Facility | 8151 Norton Pkwy, Mentor, OH 44060 | 2017-04-03 |
| 1144695933 | Kirsten Lorek | Specialist/Technologist | 8400 Paddock Ct, Mentor, OH 44060 | 2015-12-06 |
| 1346638848 | Darlean Williams | Licensed Practical Nurse | 6477 Center Street, Mentor High School, Mentor, OH 44060 | 2015-01-06 |
| 1316357130 | Kathryn Arnette Romo | Speech-Language Pathologist | 6451 Center Street, Mentor Exempted Village Schools, Mentor, OH 44060 | 2014-05-01 |
| 1730599705 | Marianne. P. Kostiha | Registered Nurse | 6451 Center St., Mentor Public Schools, Mentor, OH 44060 | 2014-04-30 |
| 1558788190 | Jeanne Marie Markusic | Physical Therapist | 7687 Ellington Pl, Mentor, OH 44060 | 2014-03-20 |
| 1477979391 | Center for Advanced Vein Care LLC | Emergency Medicine | 7200 Mentor Avenue, Mentor, OH 44060 | 2014-03-17 |
| Find all providers in zip 44060 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497948111 | Meridia Medical Group LLC | Family Medicine | 8316 Yellowbrick Rd, Mentor, OH 44060-4960 | 2007-08-27 |
| 1285848614 | Daniel J. Brock | Family Medicine | 6990 Lindsay Drive, Suite 3, Mentor, OH 44060 | 2007-05-08 |
| 1437265774 | Basil S Waldbaum | Family Medicine | 8300 Tyler Blvd., Mentor, OH 44060-4328 | 2006-08-21 |
| 1366484818 | Lake Hospital System Inc | Family Medicine | 6990 Lindsay Dr, #3, Mentor, OH 44060-4981 | 2006-06-11 |
| 1467454975 | Martha E Hackett | Family Medicine | 8300 Tyler Blvd, #300, Mentor, OH 44060-4217 | 2005-08-15 |
| 1851847222 | Paladina Health, LLC | Family Medicine | 7695 Mentor Ave, Mentor, OH 44060-5540 | 2016-08-26 |
| 1942580394 | Lake Hospital System | Family Medicine | 8316 Yellowbrick Rd, Mentor, OH 44060-4960 | 2011-08-17 |
| 1841433448 | Alba Kamal Gandotra | Family Medicine | 7350 Industrial Park Blvd, Mentor, OH 44060-5318 | 2009-04-13 |
| 1821253048 | Lake Hospital System, Inc. | Family Medicine | 9500 Mentor Ave, Suite 100, Mentor, OH 44060-8713 | 2008-07-28 |
| 1184814790 | Marren J Weber | Family Medicine | 9500 Mentor Avenue, Suite 100, Mentor, OH 44060 | 2007-07-30 |
| Find all providers in MENTOR | ||||
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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.