DR. ROBERT A BERG (NPI# 1639142086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639142086 |
| Entity Type | Individual |
| Full Name | DR. ROBERT A BERG |
| Credential | MD |
| Practice Address |
324 S. 34th Street Suite 9329 Philadelphia PA 19104-4399 |
| Mailing Address |
100 East Penn Square The Wanamaker Building, 9th Floor Philadelphia PA 19107-3323 |
| Practice Telephone | 2155901858 |
| Practice Fax Number | 2155904327 |
| Mailing Telephone | 2674259300 |
| Mailing Fax Number | 2674259331 |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2013-03-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
MD434817 | PA | Allopathic & Osteopathic Physicians |
| N | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
10695 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 277021 | 05 | |
| PA | MEDICARE PTAN | 132339EMD | 01 |
| PA | 1021962790001 | 05 | |
| AZ | GROUP MEDICARE NUMBER | ZWCGCR | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558688796 | Robert Bruce Berg | Dentist | 212 J St., Eureka, CA 95501 | 2010-04-28 |
| 1760516181 | Robert Jack Berg | Specialist | 2925 N Nevada St, Spokane, WA 99207-2761 | 2007-03-15 |
| 1023125911 | Robert Michael Berg | Pharmacist | Avenue D Bld 361, Perry Point, MD 21902-1015 | 2006-08-24 |
| 1336105436 | Robert Elliot Berg | Obstetrics & Gynecology | 148 Madison Ave, Suite 200, New York, NY 10016-6700 | 2006-04-26 |
| 1316566987 | Robert Joseph Berg | Student in an Organized Health Care Education/Training Program | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2020-04-13 |
| 1770725699 | Robert Warren Berg | Dentist | 901 Lexington Ave, New York, NY 10065-5924 | 2009-03-25 |
| 1124220827 | Robert Paul Berg | Dentist | 270 Nassau Blvd, Garden City, NY 11530-5336 | 2007-06-04 |
| 1083712558 | Robert Eric Berg | Dermatology | 528 Se Osceola St, 2nd Floor, Stuart, FL 34994 | 2006-09-20 |
| 1477569259 | Robert Berg | Anesthesiology | 2210 Dean St, St Charles, IL 60175-1066 | 2006-07-31 |
| 1366497943 | Robert E Berg | Radiology | 1416 6th St Sw, Mason City, IA 50401-4818 | 2006-05-23 |
| Street Address |
324 S. 34TH STREET SUITE 9329 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19104-4399 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770829 | Michelle Morris | Student in an Organized Health Care Education/Training Program | Dept. of Family Medicine & Community Health, 3737 Market, Philadelphia, PA 19104 | 2020-11-04 |
| 1346853041 | Spectrum Health Services, Inc. | Clinic/Center | 1415 South University Ave, Philadelphia, PA 19104 | 2020-08-24 |
| 1770104259 | Fatimah Sorefan-mangou | Student in an Organized Health Care Education/Training Program | 4 Maloney 3400 Spruce Street, Philadelphia, PA 19104 | 2020-05-06 |
| 1114548690 | Rebecca Blaguski | Registered Nurse | The Hospital of The University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104 | 2020-05-06 |
| 1952944175 | Rebecca Miriam Barmherzig | Psychiatry & Neurology | 3501 Civic Centre Blvd, 10th Flr Ctrb, Neurology, Philadelphia, PA 19104 | 2019-10-21 |
| 1891257101 | James Paul Byrne | Surgery | Penn Presbyterian Medical Center, Division of Trauma, S, 51 N. 39th Street, Suite 120, 1st Floor Medical Office, Philadelphia, PA 19104 | 2019-04-04 |
| 1093276453 | Lauren Shreve | Student in an Organized Health Care Education/Training Program | Department of Surgery, Surgery Education - Penn Health, 3400 Spruce Street, 4 Maloney, Philadelphia, PA 19104 | 2019-03-28 |
| 1285194282 | Lauren M Christie | Student in an Organized Health Care Education/Training Program | Penn Presbyterian Medical Center, 51 N. 39th Street, Philadelphia, PA 19104 | 2019-03-25 |
| 1114487683 | Sabrina Layne | Student in an Organized Health Care Education/Training Program | 3400 Spruce Street, 100 Centrex, Philadelphia, PA 19104 | 2019-03-21 |
| 1811457310 | Kia Lor | Student in an Organized Health Care Education/Training Program | Hospital of University of Pennsylvania, 3400 Spruce St., Philadelphia, PA 19104 | 2019-03-21 |
| Find all providers in zip 19104 | ||||
| Taxonomy Code | 2080P0203X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Critical Care Medicine |
| A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093039893 | Charlotte Zahara Woods-hill | Pediatrics | 3401 Civic Center Bvd, Suite 9329, Philadelphia, PA 19104-4319 | 2010-03-23 |
| 1790910339 | Amir Bar | Pediatrics | 160 E. Erie Ave, Philadelphia, PA 19134 | 2009-05-27 |
| 1528149150 | Arun Chopra | Pediatrics | Front and Erie St, St. Christopher's Hospital for Children, Philadelphia, PA 19134 | 2006-10-18 |
| 1750331278 | Sharon Calaman | Pediatrics | St.christophers Hospital for Children, Erie Ave At Front Street, Philadelphia, PA 19134-1095 | 2006-05-12 |
| 1699739599 | Paul Michael Shore | Pediatrics | 3601 A Street, Philadelphia, PA 19134 | 2006-04-17 |
| 1114919040 | Gabriel Hauser | Pediatrics | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2005-08-17 |
| 1083232557 | Riane Goodwin | Pediatrics | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2020-07-10 |
| 1518501733 | Stc Pediatrics LLC | Pediatrics | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2019-10-31 |
| 1750944500 | Natalie Horvatinovic | Pediatrics | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2019-04-17 |
| 1922570829 | Stephanie Oreilly | Pediatrics | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2018-12-18 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19104 |
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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.