MR. ERIC CHRISTOPHER BERG (NPI# 1750426631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750426631 |
| Entity Type | Individual |
| Full Name | MR. ERIC CHRISTOPHER BERG |
| Credential | CRNA |
| Practice Address |
115 Porter Drive Middlebury VT 05753 |
| Mailing Address |
329 Woodland Park Middlebury VT 05753 |
| Practice Telephone | 8023885672 |
| Mailing Telephone | 8023885672 |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2010-07-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 367500000X | Nurse Anesthetist, Certified Registered | 058370-23 | NH | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 101-0027388 | VT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | BLUE CROSS BLUE SHIELD | 69763 | 01 |
| NH | 30346738 | 05 | |
| VT | 1013329 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750850848 | Eric Berg | Physical Therapist | 1440 Ocean Dr Apt 8, Vero Beach, FL 32963-5302 | 2018-11-19 |
| 1316500549 | Eric Berg | Nurse Anesthetist, Certified Registered | 9601 Baptist Health Dr, Little Rock, AR 72205-6321 | 2019-04-14 |
| 1265619696 | Eric Edward Berg | Otolaryngology | 5461 Meridian Marks Rd Ste 130, Atlanta, GA 30342 | 2008-01-28 |
| 1346315157 | Eric Berg | Internal Medicine | 985 Prince Frederick Blvd Ste 201, Prince Frederick, MD 20678-3492 | 2006-11-21 |
| 1477565729 | Eric Christian Berg | Anesthesiology | 906 W Mcdermott Dr, #116-371, Allen, TX 75013-6510 | 2006-08-13 |
| 1891754958 | Eric R Berg | Dermatology | 1 S Park St, Madison, WI 53716 | 2006-03-18 |
| 1013983543 | Eric Wilhelm Berg IIi | Pathology | Blanchfield Army Community Hospital, 650 Joel Drive, Ft Campbell, KY 42223-5349 | 2006-02-24 |
| Street Address |
115 PORTER DRIVE |
| City | MIDDLEBURY |
| State | VT |
| Zip Code | 05753 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740291400 | Porter Hospital Inc | General Acute Care Hospital | 115 Porter Drive, Middlebury, VT 05753 | 2006-08-10 |
| 1619243110 | Elya Horattas Vasiliou | Surgery | 115 Porter Drive, Middlebury, VT 05753-1619 | 2012-03-29 |
| 1700922010 | Robert E Tillson | Nurse Anesthetist, Certified Registered | 115 Porter Drive, Porter Hospital, Middlebury, VT 05753 | 2007-01-30 |
| 1265578777 | Porter Hospital Inc | Medicare Defined Swing Bed Unit | 115 Porter Drive, Middlebury, VT 05753 | 2007-01-30 |
| 1023180445 | Jessica H Wagener | Emergency Medicine | 115 Porter Drive, Porter Hospital, Middlebury, VT 05753 | 2006-11-14 |
| 1770662322 | Deborah G Norris | Nurse Anesthetist, Certified Registered | 115 Porter Drive, Porter Hospital, Middlebury, VT 05753 | 2006-11-03 |
| 1073690426 | Amanda S. Young | Emergency Medicine | 115 Porter Drive, Middlebury, VT 05753 | 2006-11-01 |
| 1780770511 | Porter Hospital Inc | Clinic/Center | 115 Porter Drive, Porter Hospital, Middlebury, VT 05753 | 2006-10-05 |
| 1154413615 | Glen R Lovejoy | Emergency Medicine | 115 Porter Drive, Porter Hospital, Middlebury, VT 05753 | 2006-09-29 |
| 1396837860 | Kathryn D Clark | Dietitian, Registered | 115 Porter Drive, Porter Hospital, Middlebury, VT 05753 | 2006-09-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760997233 | Julia M. Pipiras | Massage Therapist | 99 Maple St., Marble Works, Middlebury, VT 05753 | 2017-12-06 |
| 1487017117 | Hope W Martin | Counselor | 135 South Pleasant St., Middlebury, VT 05753 | 2016-03-31 |
| 1487052593 | Ania Mortier | Nurse Practitioner | 102 A Court St, Middlebury, VT 05753 | 2014-12-06 |
| 1427471655 | Nancy Spears | Counselor | 7 Seymour St Ste 4, Middlebury, VT 05753 | 2014-01-23 |
| 1679862676 | Daly Dental | Dentist | 152 Maple Street, Suite 201, Middlebury, VT 05753 | 2011-03-31 |
| 1033432695 | James G Daly D.d.s. | Dentist | 152 Maple St., Ste. 201, Middlebury, VT 05753 | 2010-03-10 |
| 1497986855 | Maxine Elizabeth Fidler | Acupuncturist | 31 Court Street, Middlebury, VT 05753 | 2009-08-04 |
| 1629289426 | Gary Francis Margolis | Psychologist | 302 Centeno House Route 30, Middlebury, VT 05753 | 2007-05-24 |
| 1578697884 | Elise Marie Mcclintock | Nurse Practitioner | 5110 Middlebury College, Middlebury, VT 05753 | 2007-03-16 |
| 1982735890 | Adam Brightman | Social Worker | 1740 Delong Road, Cornwall, VT 05753 | 2007-03-09 |
| Find all providers in zip 05753 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942668678 | David Myers | Nurse Anesthetist, Certified Registered | 115 Porter Dr, Middlebury, VT 05753-8423 | 2016-02-09 |
| 1346429974 | Erica Lynn Belida | Nurse Anesthetist, Certified Registered | 115 Porter Dr, Middlebury, VT 05753-8423 | 2007-10-31 |
| 1184839045 | Nicole L. Stone | Nurse Anesthetist, Certified Registered | 115 Porter Dr, Middlebury, VT 05753-8423 | 2007-05-14 |
| 1700922010 | Robert E Tillson | Nurse Anesthetist, Certified Registered | 115 Porter Drive, Porter Hospital, Middlebury, VT 05753 | 2007-01-30 |
| 1770662322 | Deborah G Norris | Nurse Anesthetist, Certified Registered | 115 Porter Drive, Porter Hospital, Middlebury, VT 05753 | 2006-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205369832 | Lake Superior Nurse Anesthesia | Nurse Anesthetist, Certified Registered | 105 Westview Rd Ste 302, Colchester, VT 05446-8025 | 2017-04-11 |
| 1285833673 | Amber L Macrae | Nurse Anesthetist, Certified Registered | 450 Mary Dr, Richmond, VT 05477 | 2007-07-16 |
| 1902941719 | Linda Laplaca | Nurse Anesthetist, Certified Registered | 297 Wynnridge Dr, Rutland, VT 05701 | 2007-02-20 |
| 1285774240 | Mark A Palmer | Nurse Anesthetist, Certified Registered | 1246 Sunset Hill Rd, Williston, VT 05495-9648 | 2007-02-07 |
| 1528061942 | Dennis William Heibein | Nurse Anesthetist, Certified Registered | 289 County Rd, Windsor, VT 05089-9000 | 2005-05-31 |
| 1972038305 | Ella Obrosky | Nurse Anesthetist, Certified Registered | 160 Allen St, Rutland, VT 05701-4560 | 2017-04-24 |
| 1467810648 | Tenylle Allen Critchlow | Nurse Anesthetist, Certified Registered | 111 Colchester Ave., Uvm Medical Center, Dept. of Anesthesiology, Burlington, VT 05401 | 2016-02-03 |
| 1386001345 | Leah Marie Pearl | Nurse Anesthetist, Certified Registered | 1315 Hospital Dr, St Johnsbury, VT 05819-9210 | 2016-01-21 |
| 1629435797 | Jason Johns | Nurse Anesthetist, Certified Registered | 1315 Hospital Drive, Po Box 905, St Johnsbury, VT 05819-0905 | 2016-01-20 |
| 1922471705 | Michael J. Millar | Nurse Anesthetist, Certified Registered | 111 Colchester Ave., Uvm Medical Center - Anesthesia, Burlington, VT 05401 | 2015-11-03 |
| Find all providers with the same taxonomy | ||||
| City | MIDDLEBURY |
| Zip Code | 05753 |
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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.