DR. JOHNATHON ALLEN BERRY


Address: 353 Fairmont Blvd, Rapid City, SD 57701-7375
Phone: 6057558222

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).

Provider Overview

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

Taxonomy

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

Provider Secondary Practice Location

Address Telephone Number Fax Number
1710 U.S. Hwy 287, Mansfield, TX 76063 8172254570

Office Location

Street Address 353 FAIRMONT BLVD
City RAPID CITY
State SD
Zip Code 57701-7375

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 207P00000X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City RAPID CITY
Zip Code 57701

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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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