DAVID B BERLIN


Address: 1 Wahoo Ave, Groton, CT 06349-2324
Phone: 6094187738

DAVID B BERLIN (NPI# 1770545360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770545360
Entity Type Individual
Full Name DAVID B BERLIN
Credential PA-C
Practice Address 1 Wahoo Ave
Groton
CT 06349-2324
Mailing Address 68 Orion Ave
Groton
CT 06340-2832
Practice Telephone 6094187738
Mailing Telephone 8609418773
Enumeration Date 2006-04-06
Last Update Date 2020-01-30
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
MA002124L PA Physician Assistants & Advanced Practice Nursing Providers

Other Providers DAVID BERLIN

NPI Name Taxonomy Address Enumeration
1790872885 David Berlin Internal Medicine 520 E 70th St Ste 505, New York, NY 10021-9800 2006-10-09
1801803309 David H Berlin Podiatrist 2914 E Long Lake Rd, Troy, MI 48085-3780 2006-08-01
1033132717 David C Berlin Registered Nurse 2720 Sunset Blvd, West Columbia, SC 29169-4810 2006-07-25

Office Location

Street Address 1 WAHOO AVE
City GROTON
State CT
Zip Code 06349-2324

Providers in the same location

NPI Name Taxonomy Address Enumeration
1043207004 Matthew Braden Burns Miller Dentist 1 Wahoo Ave, Groton, CT 06349 2005-10-04
1063027407 Jimmy Nazih Suliman Dentist 1 Wahoo Ave, Groton, CT 06349-2324 2020-09-12
1790395242 Duc-nhan Nguyen Pham Dentist 1 Wahoo Ave, Groton, CT 06349-2324 2020-08-08
1770112708 Amanda Kathleen Dobyns Occupational Therapist 1 Wahoo Ave, Groton, CT 06349-2324 2020-04-02
1831732825 Cody Clark Dentist 1 Wahoo Ave, Groton, CT 06349-2324 2019-10-22
1477103059 Jordan Taylor Rucinski Dentist 1 Wahoo Ave, Groton, CT 06349-2324 2019-09-16
1699335372 Cynthia Daigneault Counselor 1 Wahoo Ave, Groton, CT 06349-2324 2019-06-16
1942868211 Cameron Anson Martin Military Health Care Provider 1 Wahoo Ave, Groton, CT 06340 2019-06-03
1104386903 Zena Sabath General Practice 1 Wahoo Ave, Groton, CT 06349-2324 2019-03-20
1538636527 Winston Eugene Young Dentist 1 Wahoo Ave, Groton, CT 06349-2324 2018-10-27
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205434347 Mvca Optometrist Navy Submarine Base New London, Bldg 484, Groton, CT 06349 2020-10-12
1376194274 Christopher Lee Roy Smith Military Health Care Provider Uss San Juan (ssn 751), Groton, CT 06349 2019-09-23
1588127575 Morgan Ross Jones Student in an Organized Health Care Education/Training Program Bx 159 Navsubase Nlon, Groton, CT 06349 2019-04-08
1689179640 David Saunders Military Health Care Provider 159 Navsubase Nlon, Groton, CT 06349 2018-03-29
1013264423 Dennis Buenaventura Custodio Military Health Care Provider 69 Trout Ave, Naval Undersea Medical Institute, Groton, CT 06349 2012-08-06
1609013549 Nicolas David Mendoza Military Health Care Provider Uss Hawaii (ssn 776), Fpo, AE 06349 2009-01-14
1881843084 Mark Francis Jarvis Military Health Care Provider Nssc Nlon, Bldg 76, Groton, CT 06349 2008-09-11
1780882738 Michael Nutt Military Health Care Provider Bldg 517 Taugtog Ave, Navsubscol, Groton, CT 06349 2007-07-10
1497811343 Keith Benjamin Hoekman Nurse Practitioner 1 Wahoo Dr, Groton, CT 06349 2006-12-28
1881604163 Christina E Toufexis Pediatrics 1 Wahoo Drive, Groton, CT 06349 2006-08-09
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528432416 Michael Tansey Physician Assistant 22 Partridge Rd, 22 Partridge Rd, Groton, CT 06340-4323 2015-11-16
1124122650 Aimee J Criscuolo Beck Physician Assistant 481 Gold Star Hwy Ste 100, Groton, CT 06340-6702 2006-09-13
1437253655 David J Mccormick Physician Assistant 220 Route 12, Groton, CT 06340-3414 2006-09-08
1659713683 Katelyn Doran Jupin Physician Assistant 220 Route 12, Groton, CT 06340-3414 2013-07-18
1396186631 Zachary J. Jupin Physician Assistant 220 Route 12, Groton, CT 06340-3414 2013-07-16
1063700078 Ryan Elaine Bolton Physician Assistant 75 Eastern Point Rd, Station A78, Groton, CT 06340-4905 2011-07-12
1578693917 Ahmad M. Mehdi M.d P.c Physician Assistant 100 Sykes St, Groton, NY 13073-1231 2007-03-06
1801840095 Mark Duston Schulthess Physician Assistant Route 12 Bldg 449, Naval Ambulatory Care Center Attn Professional Affairs, Groton, CT 06349-5600 2006-05-20

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1578163671 Kirsten Alexandra Drobiak Physician Assistant 37 Jennifer Ln, Griswold, CT 06351-3500 2020-10-28
1255955019 Amanda Uscilla Physician Assistant 20 Hilltop Rd, Bethany, CT 06524-3514 2020-06-07
1689208571 Sage Ann Miele Physician Assistant 149 Water St Apt 32, Norwalk, CT 06854-3758 2020-02-28
1790319655 Erin Kelly Flynn Physician Assistant 464 Congress Ave # Suie260, New Haven, CT 06519-1361 2020-02-28
1659919702 Jeniece Kayla Wert Physician Assistant 100 Church Street South, Suite A230 Room A235, New Haven, CT 06519-1703 2019-12-18
1811547508 Gabriela M Vargas Physician Assistant 24 Hospital Ave # Tower7, Danbury, CT 06810-6099 2019-09-16
1275192049 Molly J Mable Physician Assistant 282 Washington St Fl 1, Hartford, CT 06106-3322 2019-06-06
1003377631 Stephan Anton Bayer Physician Assistant 205 Elm St Apt 5, West Haven, CT 06516-4659 2019-03-27
1578024105 Vance P Baughman Physician Assistant 325 Lafayette St Unit 1003, Bridgeport, CT 06604-5472 2019-03-27
1588121354 Jason Michael Nies Physician Assistant 20 York St # 218, New Haven, CT 06510-3220 2019-02-27
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Competitor

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City GROTON
Zip Code 06349

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Dataset Information

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.

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