MS. MARY CHARLENE BERG (NPI# 1477530871) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477530871 |
| Entity Type | Individual |
| Full Name | MS. MARY CHARLENE BERG |
| Credential | CRNA |
| Practice Address |
3535 S Interstate 35 E Denton TX 76210-6850 |
| Mailing Address |
Po Box 650426 Dallas TX 75265-0426 |
| Practice Telephone | 9403843270 |
| Practice Fax Number | 9403844723 |
| Mailing Telephone | 9722331999 |
| Mailing Fax Number | 9722333666 |
| Enumeration Date | 2005-12-27 |
| Last Update Date | 2009-02-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 670102 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 162756402 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629595228 | Mary Camille Berg | Behavior Technician | 1408 20th Ave Sw Ste 7, Minot, ND 58701-6494 | 2017-08-24 |
| 1841483849 | Mary Gilbert Berg | Physical Therapist | 378 Middle Rd, Falmouth, ME 04105-1231 | 2007-08-22 |
| 1043331390 | Mary Berg | Nurse Practitioner | 10653 Douglas Ln, Nevada City, CA 95959-9010 | 2007-04-03 |
| 1790899839 | Mary Papez Berg | Dentist | 601 W Moana Ln, Suite 7, Reno, NV 89509-4955 | 2006-08-18 |
| 1336352939 | Mary Eileen Berg | Nurse Practitioner | 600 N Mountain Ave, Suite A104, Upland, CA 91786-4359 | 2007-05-08 |
| 1245372648 | Mary Jean Berg | Emergency Medicine | 1100 Carson Ave, La Junta, CO 81050-2751 | 2007-02-13 |
| 1487724290 | Mary A Berg | Family Medicine | 1312 Prentice Drive, Healdsburg, CA 95448 | 2006-11-09 |
| 1932210879 | Mary H Berg | Psychiatry & Neurology | 158 Zillicoa St, Asheville, NC 28801-1079 | 2006-08-31 |
| 1174596522 | Mary Berg | Pathology | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2006-02-08 |
| 1174524391 | Mary Ellen Berg | Ophthalmology | 471 Ashley Ridge Blvd, Shreveport, LA 71106 | 2005-08-10 |
| Street Address |
3535 S INTERSTATE 35 E |
| City | DENTON |
| State | TX |
| Zip Code | 76210-6850 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073084679 | Taylor Fletcher | Physician Assistant | 3535 S Interstate 35 E, Denton, TX 76210-6850 | 2018-12-09 |
| 1760959696 | Prajnawati Wibowo | Nurse Practitioner | 3535 S Interstate 35 E, Denton, TX 76210-6850 | 2018-10-29 |
| 1104367168 | Terrie Branson | Nurse Practitioner | 3535 S Interstate 35 E, Denton, TX 76210 | 2017-03-10 |
| 1649512591 | Ashley Rena Wiles | Nurse Practitioner | 3535 S Interstate 35 E, Denton, TX 76210-6850 | 2013-03-19 |
| 1093975278 | Elango Packirisamy Vinjirayer | Internal Medicine | 3535 S Interstate 35 E, Denton Regional Medical Center, Denton, TX 76210-6850 | 2008-06-11 |
| 1952529828 | Justin Robert Northeim | Emergency Medicine | 3535 S Interstate 35 E, Denton, TX 76210-6850 | 2007-04-23 |
| 1376769026 | Thomas J Olmsted | Emergency Medicine | 3535 S Interstate 35 E, Denton, TX 76210-6850 | 2007-04-18 |
| 1396865358 | Christina K Sokolowski | Physical Therapist | 3535 S Interstate 35 E, Denton, TX 76210-6850 | 2007-03-30 |
| 1568545663 | Bradley Ray Armstrong | Physician Assistant | 3535 S Interstate 35 E, Denton, TX 76210-6850 | 2006-10-23 |
| 1487621306 | Lise Amy Labiche | Psychiatry & Neurology | 3535 S Interstate 35 E, Denton, TX 76210-6850 | 2006-03-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609403716 | Corinth Community Pharmacy, LLC. | Pharmacy | 3001 F.m. 2181, Suite 450, Corinth, TX 76210 | 2020-03-26 |
| 1003467200 | Stephanie R Rynor I | Nurse Practitioner | 3001 Fm 2181 Ste 300, Corinth, TX 76210 | 2019-09-28 |
| 1417435389 | Ikids Pediatric Dentistry Denton, Pllc | Dentist | 1212 Bent Oaks Ct Ste 100, Denton, TX 76210 | 2018-08-02 |
| 1083100101 | Ahir Dental Pllc | Dentist | 3220 Teasley Ln, Suite#100, Dention, TX 76210 | 2018-07-02 |
| 1235636010 | Diane Michelle Dean | Counselor | 2701 Shoreline Drive, Denton, TX 76210 | 2018-04-09 |
| 1740709344 | Southridge Dental, LLC | Dentist | 3303 Unicorn Lake Blvd, Ste 200, Denton, TX 76210 | 2017-09-14 |
| 1356876601 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 1101 Fm 2181, Corinth, TX 76210 | 2017-04-25 |
| 1366990137 | Phee Dental Group | Dentist | 4920 Teasley Ln, Denton, TX 76210 | 2016-09-21 |
| 1265893283 | Ann Marie Norris | Respiratory Therapist, Registered | 3535 E I-35, Denton, TX 76210 | 2016-03-18 |
| 1447644778 | Santa Patricia Espinoza | Nurse Practitioner | 3537 South Interstate 35e, Ste. 210, Denton, TX 76210 | 2015-03-25 |
| Find all providers in zip 76210 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417996521 | James Osborne Ellington | Nurse Anesthetist, Certified Registered | 10000 Soriano St, Denton, TX 76207-6691 | 2006-06-05 |
| 1205889011 | Herbert John Flachofsky | Nurse Anesthetist, Certified Registered | 2515 Scripture Street Ste 200, Presbyterian Hospital, Denton, TX 76201 | 2006-05-19 |
| 1609009026 | Ips of Denton LLC | Nurse Anesthetist, Certified Registered | 3201 Colorado Blvd, Denton, TX 76210-6863 | 2009-09-02 |
| 1699848622 | Cheryl Elise Troxtell | Nurse Anesthetist, Certified Registered | 3000 N Interstate 35, Department of Anesthesia, Denton, TX 76201-5119 | 2006-11-16 |
| 1609967397 | Gene Marie Sperduti | Nurse Anesthetist, Certified Registered | 3000 N Interstate 35, Denton, TX 76201-5119 | 2006-09-27 |
| 1588622815 | Denton Anesthesiology Associates, Pa | Nurse Anesthetist, Certified Registered | 3000 N I-35, Department of Anesthesiology, Denton, TX 76201-5119 | 2006-05-03 |
| 1003893405 | Donna S. Gacke | Nurse Anesthetist, Certified Registered | 3535 S Interstate 35 E, Denton, TX 76210-6850 | 2005-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689288524 | Pmr Crna Pllc | Nurse Anesthetist, Certified Registered | 5000 Alicia Dr, Fort Worth, TX 76133-7902 | 2020-09-08 |
| 1376155887 | Health Guard Anesthesia Services (hgas) | Nurse Anesthetist, Certified Registered | 7741 Tanglewilde St Ste 100, Houston, TX 77036-5565 | 2020-08-18 |
| 1477164440 | Royal Anesthesia Inc. | Nurse Anesthetist, Certified Registered | 1802 Moores Ln Ste 200, Texarkana, TX 75503-4609 | 2020-08-13 |
| 1952911661 | Anesthesia Providers of Houston Pllc | Nurse Anesthetist, Certified Registered | 1446 Campbell Rd Ste 290, Houston, TX 77055-4604 | 2020-08-06 |
| 1417575374 | Timothy Wade Farr | Nurse Anesthetist, Certified Registered | 11369 E Ranch Ct, El Paso, TX 79934-3217 | 2020-07-08 |
| 1922622919 | Devontee Delishuanee Rayford | Nurse Anesthetist, Certified Registered | 3925 Crenshaw Ave, Fort Worth, TX 76105-4115 | 2020-06-04 |
| 1790308500 | Advanced Practice Pain Management and Anesthesia Consulting Pllc | Nurse Anesthetist, Certified Registered | 317 Wilson St, Henderson, TX 75652-5957 | 2020-05-27 |
| 1598388365 | Lance Paul Good | Nurse Anesthetist, Certified Registered | 6225 State Hwy 161 Ste 200, Irving, TX 75038-2241 | 2020-05-27 |
| 1326669763 | Jared Lanham | Nurse Anesthetist, Certified Registered | 200 Woodrow Bean, El Pao, TX 79911 | 2020-04-27 |
| 1902425150 | Paige L Thibodeaux | Nurse Anesthetist, Certified Registered | 1201 W 38th St Ste 570, Austin, TX 78705-1006 | 2020-04-08 |
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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.