TROY LYMAN BERG (NPI# 1740216845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740216845 |
| Entity Type | Individual |
| Full Name | TROY LYMAN BERG |
| Credential | M.D. |
| Practice Address |
1200 Oakleaf Way Suite A Altoona WI 54720-2245 |
| Practice Telephone | 7158321400 |
| Practice Fax Number | 7158324187 |
| Mailing Telephone | 7158321400 |
| Mailing Fax Number | 7158324187 |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2015-01-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
39869 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 32440300 | 05 | |
| WI | MEDICA/SELECTCARE CF | 09-07599 | 01 |
| WI | SECURITY HEALTH PLAN | 54456 | 01 |
| WI | RAILROAD | P00171099 | 01 |
| WI | BCBS MN | 378L5BE | 01 |
| WI | MEDICA/SELECTCARE EC | 09 07598 | 01 |
| WI | OWCP | 137616600 | 01 |
| WI | AETNA | 5725706 | 01 |
| WI | UNITED HEALTHCARE | 1852957 | 01 |
| Street Address |
1200 OAKLEAF WAY SUITE A |
| City | ALTOONA |
| State | WI |
| Zip Code | 54720-2245 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699778829 | Chippewa Valley Orthopedics and Sports Medicine Clinic Sc | Neurological Surgery | 1200 Oakleaf Way, Suite A, Altoona, WI 54720-2245 | 2005-05-23 |
| 1639682743 | Heather Dayton | Specialist/Technologist | 1200 Oakleaf Way, Altoona, WI 54720-2245 | 2017-11-10 |
| 1831628114 | Katrina Lynn Lindner | Physical Therapy Assistant | 1200 Oakleaf Way, Suite B, Altoona, WI 54720 | 2017-06-08 |
| 1952856346 | Taylor J Cunningham | Physician Assistant | 1200 Oakleaf Way, Altoona, WI 54720-2245 | 2016-08-16 |
| 1659757987 | Brooklyn Marie Laube | Physical Therapist | 1200 Oakleaf Way, Suite B, Altoona, WI 54720-2245 | 2015-08-10 |
| 1649679119 | Kate E Nelson | Registered Nurse | 1200 Oakleaf Way, Altoona, WI 54720-2245 | 2014-08-20 |
| 1437568292 | Kathleen King | Nurse Practitioner | 1200 Oakleaf Way, Altoona, WI 54720-2245 | 2014-08-06 |
| 1831514975 | Cindi Weisenberger | Registered Nurse | 1200 Oakleaf Way, Suite A, Altoona, WI 54720-2245 | 2014-02-26 |
| 1154763258 | Tj Nereng | Physical Therapist | 1200 Oakleaf Way, Suite B, Altoona, WI 54720-2245 | 2013-07-18 |
| 1811336050 | Shawna Rose Mess | Physician Assistant | 1200 Oakleaf Way, Ste A, Altoona, WI 54720 | 2013-06-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982155248 | The Bethany-st. Joseph Corporation D/b/a Prairie Pointe Rehab Suites | Skilled Nursing Facility | 286 N. Willson Dr, Altoona, WI 54720 | 2016-10-20 |
| 1821541046 | Stephanie Meyer | Optometrist | 3063 Meadowlark Ln, #10, Altoona, WI 54720 | 2016-07-25 |
| 1952756991 | Grace Lutheran Foundation Inc | Skilled Nursing Facility | 206 North Willson Drive, Altoona, WI 54720 | 2016-04-27 |
| 1669826095 | Grace Lutheran Foundation Inc | Skilled Nursing Facility | 286 North Willson Dr., Altoona, WI 54720 | 2016-04-22 |
| 1366881781 | Ingrid Ellen Schroeder | Occupational Therapy Assistant | 1203 Bartlett Avenue, Altoona, WI 54720 | 2013-06-19 |
| 1790972099 | Assisted Living Concepts Inc | Assisted Living Facility | 342 Twin Oak Drive, Altoona, WI 54720 | 2007-10-01 |
| 1427262302 | Amanda Lynn Busse | Occupational Therapy Assistant | 2512 New Pine Drive, Altoona, WI 54720 | 2007-05-09 |
| 1316954928 | Oral and Maxillofacial Surgery Asso of Eau Claire Sc | Oral & Maxillofacial Surgery | 788 Oakleaf Way, Altoona, WI 54720 | 2006-08-03 |
| 1740230838 | Jodi Hansen Ritsch | Family Medicine | 1476 Blazing Star Blvd, Suite 4, Altoona, WI 54720 | 2006-05-11 |
| 1225095508 | Kirsten L Taylor | Counselor | 2519 North Hillcrest Parkway, Suite 103, Altoona, WI 54720 | 2006-04-28 |
| Find all providers in zip 54720 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588639256 | Albert J Cecchini | Orthopaedic Surgery | 3119 Woodman Dr, Altoona, WI 54720-2668 | 2006-02-17 |
| 1962438069 | John Paul Drawbert | Orthopaedic Surgery | 1200 Oakleaf Way, Altoona, WI 54720-2245 | 2006-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144464199 | Lyall Carlton Stilp II | Orthopaedic Surgery | 2133 Willow Ln, Oshkosh, WI 54902-9121 | 2009-04-21 |
| 1992953921 | William David Jones | Orthopaedic Surgery | 1554 River Pines Dr, Green Bay, WI 54311-5648 | 2008-09-03 |
| 1811992886 | Tamara A Scerpella | Orthopaedic Surgery | 621 Science Dr, Madison, WI 53711-1074 | 2005-06-16 |
| 1538716725 | Jessica Lynn Flood | Orthopaedic Surgery | 4602 Eastpark Blvd, Madison, WI 53718-2002 | 2019-08-22 |
| 1154883593 | Kristin K. Lietzau | Orthopaedic Surgery | Beloit Clinic, 1905 E. Huebbe Parkway, Beloit, WI 53511-1842 | 2019-04-04 |
| 1154839140 | Sandra Koester | Orthopaedic Surgery | 1111 Delafield St, Waukesha, WI 53188 | 2018-01-12 |
| 1750736120 | Orthopaedic Centers of Wisconsin, S.c. | Orthopaedic Surgery | 500 Vincent St, Stevens Point, WI 54481-1842 | 2016-05-04 |
| 1740549773 | Community Health Network Inc | Orthopaedic Surgery | 191 Memorial Dr, Berlin, WI 54923-1241 | 2012-05-11 |
| 1922322429 | Andrea M. Spiker | Orthopaedic Surgery | 4602 Eastpark Blvd, Madison, WI 53718-2002 | 2010-03-26 |
| 1871753517 | Brian Foley Grogan | Orthopaedic Surgery | 4602 Eastpark Blvd, Madison, WI 53718-2002 | 2008-06-16 |
| Find all providers with the same taxonomy | ||||
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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.