DR. BENJAMIN WORTH BERG (NPI# 1720061625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720061625 |
| Entity Type | Individual |
| Full Name | DR. BENJAMIN WORTH BERG |
| Other Name | DR. BENJAMIN BERG |
| Credential | MD |
| Practice Address |
651 Ilalo St Telehealth Research Honolulu HI 96813-5525 |
| Practice Telephone | 8086921093 |
| Practice Fax Number | 8086921025 |
| Mailing Telephone | 8086921093 |
| Mailing Fax Number | 8086921025 |
| Enumeration Date | 2005-11-23 |
| Last Update Date | 2007-10-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
5477 | HI | Allopathic & Osteopathic Physicians |
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
5477 | HI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588124929 | Benjamin Berg | Student in an Organized Health Care Education/Training Program | 4755 Ogletown Stanton Rd, Newark, DE 19718-2200 | 2019-03-21 |
| 1336523661 | Benjamin Berg | Counselor | 2324 University Ave W Ste 120, Saint Paul, MN 55114-1854 | 2015-07-16 |
| Street Address |
651 ILALO ST TELEHEALTH RESEARCH |
| City | HONOLULU |
| State | HI |
| Zip Code | 96813-5525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780290734 | Doanh Lu | Internal Medicine | 651 Ilalo St, Ancillary 102, Honolulu, HI 96813-9681 | 2020-09-16 |
| 1174146963 | Charles Akiona | Student in an Organized Health Care Education/Training Program | 651 Ilalo St, Honolulu, HI 96813-5525 | 2020-05-27 |
| 1649648205 | Richard Toshiharu Kasuya | Internal Medicine | 651 Ilalo St, Office of Medical Education, Honolulu, HI 96813-5525 | 2015-09-11 |
| 1417337973 | Gaurav Thakral | Student in an Organized Health Care Education/Training Program | 651 Ilalo St, Meb #411e, Honolulu, HI 96813-5525 | 2015-05-31 |
| 1396007878 | Lani Kai Clinton | Student in an Organized Health Care Education/Training Program | 651 Ilalo St, Meb #401a, Honolulu, HI 96813-5525 | 2012-06-12 |
| 1184917205 | Kawika Analu Mortensen | Student in an Organized Health Care Education/Training Program | 651 Ilalo St, Meb #401a, Honolulu, HI 96813-5525 | 2011-05-23 |
| 1346551983 | Wichit Sae-ow | Student in an Organized Health Care Education/Training Program | 651 Ilalo St, #401a, Honolulu, HI 96813-5525 | 2010-06-29 |
| 1922328541 | Chrisy T Mafnas | Student in an Organized Health Care Education/Training Program | 651 Ilalo St, Meb #401a, Honolulu, HI 96813-5525 | 2010-06-04 |
| 1871728790 | Michael Dell Black | Pathology | 651 Ilalo St, Meb #401a, Honolulu, HI 96813-5534 | 2009-05-20 |
| 1982866539 | Chelestes Lee Kanoelehua Grace | Pathology | 651 Ilalo St, Meb #401a, Honolulu, HI 96813-5525 | 2008-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902322 | Kawehi Hanohano-navarro | Behavior Technician | Attn: Behavioral Health Works 500 Ala Moana Blvd. Suit, Honolulu, HI 96813 | 2020-11-03 |
| 1659971489 | University Clinical Education & Research Associates | Clinical Medical Laboratory | 651 Ilalo Street, Bioscience Bldg Rm 333, Honolulu, HI 96813 | 2020-10-30 |
| 1700490919 | Tiana Taylor Williams | Behavior Technician | 7 Waterfront Plaza, 500 Ala Moana Blvd, Suite 400, Honolulu, HI 96813 | 2020-09-04 |
| 1134761109 | Florence Kwitonda | Behavior Technician | 500 Ala Moana Blvd., Suite 400, Honolulu, HI 96813 | 2019-10-11 |
| 1629629373 | Alyssa Niel Gethings | Behavior Technician | Attn: Behavioral Health Works 500 Ala Moana Blvd. Suite, Honolulu, HI 96813 | 2019-09-24 |
| 1851949069 | Miho Camarata | Behavior Technician | Attn: Behavioral Health Works 500 Ala Moana Blvd, Suite 400, Honolulu, HI 96813 | 2019-08-30 |
| 1326696519 | Chanelle Ashley Ramos | Behavior Technician | Attn: Behavioral Health Works 500 Ala Moana Blvd., Suite 400, Honolulu, HI 96813 | 2019-08-30 |
| 1568022580 | Fataly Willy | Behavioral Analyst | 500 Alamoana Blvd #7-400, Honolulu, HI 96813 | 2019-06-20 |
| 1538624069 | Galaxy Urgent Care Inc | Internal Medicine | 50 South Beretania St, C210 B, Honolulu, HI 96813 | 2019-02-08 |
| 1376010124 | Queen's Development Corporation and Subsidiaries | Clinic/Center | 400 Keawe Street, Suite 100, Honolulu, HI 96813 | 2018-10-30 |
| Find all providers in zip 96813 | ||||
| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417918798 | Russell Charles Gilbert | Internal Medicine | 1301 Punchbowl Street, Honolulu, HI 96813-2499 | 2006-03-28 |
| 1962804567 | Graham M Cormack, Md, LLC | Internal Medicine | 1301 Punchbowl St, Honolulu, HI 96813 | 2014-09-25 |
| 1821408873 | Timothy John Kenealy Vossler | Internal Medicine | 888 S King St, Honolulu, HI 96813-3097 | 2014-04-30 |
| 1215355680 | Colin Louis Doyle | Internal Medicine | 1301 Punchbowl St, Honolulu, HI 96813-2499 | 2014-04-02 |
| 1003159211 | Nishal Brahmbhatt | Internal Medicine | 1301 Punchbowl St, Honolulu, HI 96813-2499 | 2013-04-05 |
| 1649512724 | Stephanie C Guo | Internal Medicine | 1301 Punchbowl St, Honolulu, HI 96813-2499 | 2013-03-26 |
| 1184982290 | Brent Kei Tatsuno | Internal Medicine | 1329 Lusitana St Ste 107, Honolulu, HI 96813-2401 | 2012-04-26 |
| 1689930497 | Karthik R Kode | Internal Medicine | 1301 Punchbowl St, Honolulu, HI 96813-2402 | 2012-04-05 |
| 1174847842 | Jordan Lee | Internal Medicine | 1301 Punchbowl St, Honolulu, HI 96813-2499 | 2010-03-24 |
| 1043353709 | Lillian A Umbarger | Internal Medicine | 3288 Moanalua Rd, Honolulu, HI 96819-1469 | 2007-02-14 |
| Find all providers in HONOLULU | ||||
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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.