DR. MELANIE L BERG (NPI# 1528064227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1528064227 |
Entity Type | Individual |
Full Name | DR. MELANIE L BERG |
Credential | D.P.M. |
Practice Address |
403 Stageline Rd Hudson WI 54016-7848 |
Mailing Address |
5803 Neal Ave N Oak Park Heights MN 55082-2177 |
Practice Telephone | 7155316800 |
Practice Fax Number | 7155316801 |
Mailing Telephone | 6514398807 |
Mailing Fax Number | 6514390232 |
Enumeration Date | 2005-06-27 |
Last Update Date | 2020-05-28 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
861-025 | WI | Podiatric Medicine & Surgery Service Providers |
Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
710 | MN | Podiatric Medicine & Surgery Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
5803 Neal Ave N, Oak Park Heights, MN 550822177 | 6514398807 | 6514390232 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093850125 | Melanie B Berg | Dietitian, Registered | 1038 St Hubbins Dr, Spring Hill, TN 37174 | 2007-02-20 |
1780696690 | Melanie Parker Berg | Family Medicine | 209 Martin Luther King Jr Way, Tacoma, WA 98405-4265 | 2006-08-12 |
Street Address |
403 STAGELINE RD |
City | HUDSON |
State | WI |
Zip Code | 54016-7848 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437700242 | Stephanie Marie Reneau | Nurse Practitioner | 403 Stageline Rd, Hudson, WI 54016-1789 | 2019-09-23 |
1912562612 | Taylor Ann Mueller | Nurse Practitioner | 403 Stageline Rd, Hudson, WI 54016-1789 | 2019-05-08 |
1770051062 | Pamela Stoutenburg | Registered Nurse | 403 Stageline Rd, Hudson, WI 54016-1789 | 2018-11-05 |
1326592502 | Laura Beeson | Nurse Practitioner | 403 Stageline Rd, Hudson, WI 54016-1789 | 2016-08-05 |
1700262938 | Cassidy Sea Mcglothlen | Nurse Practitioner | 403 Stageline Rd, Hudson, WI 54016-7848 | 2015-08-11 |
1346624319 | Jessica Blackford | Nurse Practitioner | 403 Stageline Rd, Hudson, WI 54016-7848 | 2015-07-19 |
1932513173 | Sarah Burke | Pediatrics | 403 Stageline Rd, Hudson, WI 54016-1789 | 2014-06-16 |
1720404890 | Robyn Cox | Advanced Practice Midwife | 403 Stageline Rd, Hudson, WI 54016-7848 | 2014-03-12 |
1467876433 | Ann Marie Crump | Advanced Practice Midwife | 403 Stageline Rd, Hudson, WI 54016-7848 | 2014-02-12 |
1801217559 | Gregory Barlow | Physician Assistant | 403 Stageline Rd, Hudson, WI 54016-7848 | 2013-12-25 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164921128 | Sara Lynn Henry | Occupational Therapy Assistant | 1320 Wisconsin St., Husdon, WI 54016 | 2018-02-06 |
1689003436 | Serving Hands Inc | Home Health | 1419 Boulder Court, Hudson, WI 54016 | 2013-11-02 |
1275973042 | Lisa Renee Haverly | Occupational Therapist | 477 Perch Lake Rd, Hudson, WI 54016 | 2013-06-26 |
1710320213 | Emily Ann Stevenson | Counselor | 901 4th St Ste 165, Hudson, WI 54016 | 2013-04-15 |
1083972954 | The Shurden Group | In Home Supportive Care | 2424 Monetary Blvd. #012, The Shurden Group Dba Comfort Keepers, Hudson, WI 54016 | 2012-04-30 |
1124305933 | Robert Michael Catlow-price | Massage Therapist | 131 Carmichael Road, Suite #202, Hudson, WI 54016 | 2011-11-08 |
1962780221 | Qin Chu | Acupuncturist | 1615 Maxwell Dr., Suite D, Hudson, WI 54016 | 2011-08-03 |
1124324231 | Hung Trieu Lieu | Acupuncturist | 1810 Crest View Dr Ste 4a, Hudson, WI 54016 | 2011-02-07 |
1912214966 | Sumac Residential LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 723 B Blue Jay Lane, Hudson, WI 54016 | 2010-09-10 |
1740593201 | Michelle Marie Young | Counselor | 2501 Hanley Road, Suite F, Eagle Valley Bank Building, Hudson, WI 54016 | 2010-07-26 |
Find all providers in zip 54016 |
Taxonomy Code | 213ES0103X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot & Ankle Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881854966 | Foot Specialist Associates P.C. | Podiatrist | 540 Joslen Boulevard, Hudson, NY 12534 | 2008-06-12 |
1427595578 | Hudson Valley Foot Associates, LLP | Podiatrist | 23 Fish and Game Rd, Hudson, NY 12534-3815 | 2017-01-27 |
1205232386 | Ohio Podiatric Physicians and Surgeons Group. LLC | Podiatrist | 1315 Corporate Dr, Suite B, Hudson, OH 44236-4453 | 2014-11-17 |
1902213069 | Hudson Podiatry LLC | Podiatrist | 1315 Corporate Dr, Suite B, Hudson, OH 44236-4453 | 2014-07-21 |
1265467351 | Carolina Foot & Ankle Associates, Pllc | Podiatrist | 270 Pine Mountain Rd, Suite 1, Hudson, NC 28638-2634 | 2006-07-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225675697 | Grayco LLC | Podiatrist | 7128 Tamarack Ct, Mequon, WI 53092-8517 | 2019-12-04 |
1124688114 | Foot Factor Podiatry LLC | Podiatrist | 6125 Green Bay Rd Ste 600, Kenosha, WI 53142-2928 | 2019-06-20 |
1063928752 | Sheboygan Foot Care, LLC | Podiatrist | 630 Riverfront Dr Ste 202, Sheboygan, WI 53081-4616 | 2017-12-18 |
1295279461 | Colin T Graney | Podiatrist | 664 W. Washington Ave, Madison, WI 53703 | 2016-12-07 |
1790158368 | Wisconsin Visiting Podiatry | Podiatrist | 28606 Sandpiper Trl, Waterford, WI 53185-1733 | 2015-11-04 |
1225415540 | Alexander Blaschke | Podiatrist | 1009 Caledonia St, La Crosse, WI 54603 | 2015-05-06 |
1164861712 | Jessica Leigh Minder | Podiatrist | W62n179 Washington Ave Ste 3, Cedarburg, WI 53012-2770 | 2013-06-17 |
1326322884 | Northwoods Foot & Ankle LLC | Podiatrist | 1400 Us Highway 51 N, Unit G, Arbor Vitae, WI 54568-9504 | 2011-10-03 |
1336434075 | James David Torhorst | Podiatrist | 1439 Churchill St # 202, Waupaca, WI 54981-2089 | 2011-06-10 |
1154632412 | Anton John Sella | Podiatrist | 2835 N Grandview Blvd Ste 300, Pewaukee, WI 53072-5591 | 2010-07-01 |
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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.