EVELYN BERNE (NPI# 1619954930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619954930 |
| Entity Type | Individual |
| Full Name | EVELYN BERNE |
| Credential | MD |
| Practice Address |
9980 Central Park Blvd N Suite 114 Boca Raton FL 33428-1762 |
| Mailing Address |
2234 Colonial Blvd Attn: Payer Contracting & Relations Dept. Fort Myers FL 33907-1412 |
| Practice Telephone | 5614208770 |
| Practice Fax Number | 5614208771 |
| Mailing Telephone | 2399317342 |
| Mailing Fax Number | 2399317385 |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2016-04-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | ME116831 | FL | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | L0030 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | FREEDOM HEALTH | P1012227 | 01 |
| FL | 011700400 | 05 | |
| FL | CIGNA | 0455338 | 01 |
| FL | WELLCARE | 1174004 | 01 |
| FL | DIMENSIONS HEALTH | 13477 | 01 |
| FL | UNITED HEALTHCARE | F00201543301 | 01 |
| FL | OPTIMUM | P951434 | 01 |
| FL | AVMED | 367487 | 01 |
| FL | RAILROAD MCR | P01221615 | 01 |
| FL | BCBS OF FL | 14R9Q | 01 |
| FL | AETNA | 7172235 | 01 |
| Street Address |
9980 CENTRAL PARK BLVD N SUITE 114 |
| City | BOCA RATON |
| State | FL |
| Zip Code | 33428-1762 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861495350 | Jorge A Rosario-mulinelli | Pediatrics | 9980 Central Park Blvd N, Ste 316, Boca Raton, FL 33428-1762 | 2005-05-27 |
| 1265094452 | Galaxy Labs LLC | Clinical Medical Laboratory | 9980 Central Park Blvd N, Boca Raton, FL 33428-1762 | 2019-07-08 |
| 1154895811 | Moran Kids | Orthopaedic Surgery | 9980 Central Park Blvd N, Boca Raton, FL 33428-1762 | 2019-01-16 |
| 1487189106 | Linsey Benjamin | Registered Nurse | 9980 Central Park Blvd N, Boca Raton, FL 33428-1762 | 2017-05-01 |
| 1528505898 | M.mohiuddin Pa | Family Medicine | 9980 Central Park Blvd N, Suite 312, Boca Raton, FL 33428-1762 | 2017-01-25 |
| 1720537244 | Courtney Jenista | Physician Assistant | 9980 Central Park Blvd N, Suite 222, Boca Raton, FL 33428-1762 | 2016-09-26 |
| 1346794005 | Alyssa Weiss-quittner | Marriage & Family Therapist | 9980 Central Park Blvd N, Suite 124, Boca Raton, FL 33428-1762 | 2016-08-11 |
| 1881047314 | Kidz Medical Services | Pediatrics | 9980 Central Park Blvd N, Suite 318, Boca Raton, FL 33428-1762 | 2016-07-20 |
| 1710337498 | Kidz Medical Services | Psychiatry & Neurology | 9980 Central Park Blvd N, Suite 122, Boca Raton, FL 33428-1762 | 2016-06-14 |
| 1699123695 | Kidz Medical Services | Pediatrics | 9980 Central Park Blvd N, Suite 206, Boca Raton, FL 33428-1762 | 2016-05-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174016604 | Eliane Dos Santos Lamarche | Behavior Technician | 11514 Country Sound Ct, Boca Raton, FL 33428 | 2018-06-09 |
| 1447740840 | Wilzade Joseph | Assisted Living Facility | 22319 Sw 65th Ave, Boca Raton, FL 33428 | 2018-05-11 |
| 1477065316 | Pamela Manning | Nurse Practitioner | 9864 Grand Verde Way Apt 1507, Boca Raton, FL 33428 | 2017-11-01 |
| 1912428624 | Carole Mandat | Assistant Behavior Analyst | 11083 Baybreeze Way, Boca Raton, FL 33428 | 2017-07-03 |
| 1679025571 | Tam Thu Tran | Physician Assistant | 22864 Neptune Road, Boca Raton, FL 33428 | 2016-10-27 |
| 1922458355 | Zurab Akakievich Iosava | Specialist/Technologist, Other | 21644 State Road 7. (hwy 441), Boca Raton, FL 33428 | 2016-06-16 |
| 1497125280 | Robert Jay Drimmer | Internal Medicine | 21357 Bridgeview Drive, Boca Raton, FL 33428 | 2015-10-06 |
| 1710391966 | Pathway 2 Recovery Gold Coast | Clinic/Center | 23116a Sandal Foot Plaza Drive, Boca Raton, FL 33428 | 2014-06-16 |
| 1134564727 | Mary Margaret Spitzer | Nurse Practitioner | 9980 Central Park Blvdn, Boca Ration, FL 33428 | 2013-05-08 |
| 1619312816 | Alan Wasserman | Dentist | 22053 S.r. 7, Boca Raton, FL 33428 | 2013-05-02 |
| Find all providers in zip 33428 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588288203 | Samuel Joseph | Surgery | 22730 Sw 55th Ave, Boca Raton, FL 33433-6258 | 2020-05-29 |
| 1245736404 | Fred Nazeh Qafiti | Surgery | 777 Glades Rd # Bc-71, Boca Raton, FL 33431 | 2018-04-04 |
| 1336674365 | Nhean Dawance Chea | Surgery | 4800 T Rex Ave Ste 200, Boca Raton, FL 33431-4479 | 2017-04-27 |
| 1689041162 | She Wong Md Pa | Surgery | 1558 Nw 48th Pl, Boca Raton, FL 33431-3339 | 2015-08-31 |
| 1932403334 | Roger Newman | Surgery | 11737 Bayfield Dr, Boca Raton, FL 33498-6205 | 2010-12-29 |
| 1265689376 | Alan J. Bauman | Surgery | 6861 Sw 18th St, Suite 102, Boca Raton, FL 33433-7099 | 2008-08-20 |
| 1164687893 | Avraham Belizon | Surgery | 670 Glades Road, Suite #300, Boca Raton, FL 33431-6464 | 2008-07-22 |
| 1548454317 | Scott Meisel | Surgery | 1900 Glades Rd Ste 100, Boca Raton, FL 33431-7333 | 2007-09-05 |
| 1770612855 | Jorge Gaviria | Surgery | 2500 N Military Trl Ste 111, Boca Raton, FL 33431-6305 | 2007-03-05 |
| 1356413538 | Mitchell F Matez | Surgery | 7300 N Federal Hwy, Suite #100, Boca Raton, FL 33487 | 2006-11-14 |
| Find all providers in BOCA RATON | ||||
| City | BOCA RATON |
| Zip Code | 33428 |
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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.