DR. JOHNATHON ALLEN BERRY (NPI# 1801091806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1801091806 |
Entity Type | Individual |
Full Name | DR. JOHNATHON ALLEN BERRY |
Credential | DO |
Practice Address |
353 Fairmont Blvd Rapid City SD 57701-7375 |
Mailing Address |
455 Wood Lake Rd Aledo TX 76008-4634 |
Practice Telephone | 6057558222 |
Mailing Telephone | 9102574361 |
Enumeration Date | 2007-06-19 |
Last Update Date | 2020-05-06 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207P00000X | Emergency Medicine | 11969 | SD | Allopathic & Osteopathic Physicians |
N | 207P00000X | Emergency Medicine | Q2248 | TX | Allopathic & Osteopathic Physicians |
N | 207P00000X | Emergency Medicine | 49348 | CO | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
1710 U.S. Hwy 287, Mansfield, TX 76063 | 8172254570 |
Street Address |
353 FAIRMONT BLVD |
City | RAPID CITY |
State | SD |
Zip Code | 57701-7375 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104821248 | Raymond W Nowaczyk | Hospitalist | 353 Fairmont Blvd, Rapid City, SD 57701 | 2005-06-16 |
1770183329 | Kaitlin Mary Counts | Speech-Language Pathologist | 353 Fairmont Blvd, Rapid City, SD 57701-7375 | 2020-10-31 |
1659985067 | Amanda Dillon | Physical Therapist | 353 Fairmont Blvd, Rapid City, SD 57701-7375 | 2020-09-02 |
1003428053 | Abigail Renn | Dietitian, Registered | 353 Fairmont Blvd, Rapid City, SD 57701-7375 | 2020-08-20 |
1023644010 | Morgan Linneman | Registered Nurse | 353 Fairmont Blvd, Rapid City, SD 57701-7375 | 2020-03-21 |
1730713074 | Teresa Olive Ohlmacher | Nurse Anesthetist, Certified Registered | 353 Fairmont Blvd, Rapid City, SD 57701-7375 | 2020-02-25 |
1730711144 | Nicole M Weyer | Nurse Practitioner | 353 Fairmont Blvd, Rapid City, SD 57701-7375 | 2020-02-04 |
1538799101 | Garrett Folchert | Occupational Therapist | 353 Fairmont Blvd, Rapid City, SD 57701-7375 | 2020-01-22 |
1134768583 | Neil Matthiessen | Occupational Therapist | 353 Fairmont Blvd, Rapid City, SD 57701-7375 | 2020-01-02 |
1164061693 | Alexa Klimes | Speech-Language Pathologist | 353 Fairmont Blvd, Rapid City, SD 57701-7375 | 2020-01-01 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528623345 | Julie Maas | Counselor | 625 1/2 Main St, Suite 1, Rapid City, SD 57701 | 2019-05-07 |
1972076024 | Edgewood Rapid City LLC | Assisted Living Facility | 4001 Derby Lane, Rapid City, SD 57701 | 2019-01-10 |
1902300247 | Theresa Gibbens | Speech-Language Pathologist | 3301 Grandview Drive, Rapid City, SD 57701 | 2018-03-21 |
1407355423 | Arielle Leigh Loveridge | Chiropractor | 610 East Boulevard, Suite 1, Rapid City, SD 57701 | 2018-02-05 |
1083125082 | Sarah Kirschman | Nurse Practitioner | 353 Fairmont Boulvevard, Rapid City, SD 57701 | 2017-10-17 |
1992225239 | Kelsey Elizabeth Wondercheck | Dentist | 717 Meade Street, Suite 200, Rapid City, SD 57701 | 2017-06-27 |
1316476088 | Rhianna Wickett | Physical Therapist | 420 E Saint Patrick St Ste 101, Rapid City, SD 57701 | 2017-06-07 |
1841727773 | Cynthia A Gates | Dietitian, Registered | 2908 5th Street, Rapid City, SD 57701 | 2017-05-23 |
1811447758 | Alyssa Marquardt | Psychologist | 433 Mt. Rushmore Road, Rapid City, SD 57701 | 2016-10-04 |
1578913232 | .indian Health Service | Clinic/Center | 241 East Meade St, Rapid City, SD 57701 | 2016-06-14 |
Find all providers in zip 57701 |
Taxonomy Code | 207P00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Emergency Medicine |
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033641501 | Michael Paul Frost | Emergency Medicine | 353 Fairmont Blvd, Rapid City, SD 57701-7375 | 2017-04-03 |
1922395656 | Daniel Lee Montgomery | Emergency Medicine | 502 E Monroe St, Rapid City, SD 57701-1400 | 2011-07-01 |
1043531023 | Clay Arthur Smith | Emergency Medicine | 353 Fairmont Blvd, Rapid City, SD 57701 | 2010-06-14 |
1326278136 | Donald Neilson | Emergency Medicine | 353 Fairmont Blvd, Rapid City, SD 57701-7375 | 2009-07-15 |
1609093608 | Brook Matthew Eide | Emergency Medicine | 353 Fairmont Blvd, Rapid City, SD 57701-7375 | 2007-04-19 |
1033236930 | Jeffrey Anderson | Emergency Medicine | 5410 Sheridan Lake Rd, Rapid City, SD 57702 | 2007-03-23 |
1437286150 | John M Rud | Emergency Medicine | 353 Fairmont Blvd, Rapid City, SD 57701-7375 | 2007-02-28 |
1538259890 | Sandra J Honke | Emergency Medicine | 353 Fairmont Blvd, Rapid City, SD 57709 | 2006-10-14 |
1174613434 | Kelly W Manning | Emergency Medicine | 353 Fairmont Blvd, Rapid City, SD 57701-7375 | 2006-10-14 |
1619067972 | Michael Mathews | Emergency Medicine | 353 Fairmont Blvd, Rapid City, SD 57701-7375 | 2006-10-14 |
Find all providers in RAPID CITY |
City | RAPID CITY |
Zip Code | 57701 |
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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.