EGERTON K VAN DEN BERG JR. (NPI# 1821192501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821192501 |
| Entity Type | Individual |
| Full Name | EGERTON K VAN DEN BERG JR. |
| Credential | M.D. |
| Practice Address |
2320 N Orange Ave Orlando FL 32804-5506 |
| Practice Telephone | 4078960054 |
| Practice Fax Number | 4078984463 |
| Mailing Telephone | 4078960054 |
| Mailing Fax Number | 4078984463 |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2019-09-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 117611 | TX | Allopathic & Osteopathic Physicians |
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
ME54054 | FL | Allopathic & Osteopathic Physicians |
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
117611 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 103555800 | 05 |
| Street Address |
2320 N ORANGE AVE |
| City | ORLANDO |
| State | FL |
| Zip Code | 32804-5506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194721662 | Sohrab Gerami | Specialist | 2320 N Orange Ave, Ste 201, Orlando, FL 32804-5501 | 2005-06-21 |
| 1093942393 | Imran Sikander Farooq | Internal Medicine | 2320 N Orange Ave, Orlando, FL 32804-5506 | 2009-06-15 |
| 1821241563 | Cardiology Consultants,p.a. | Radiologic Technologist | 2320 N Orange Ave, Orlando, FL 32804-5506 | 2008-10-28 |
| 1548479579 | Cardiology Consultants | Radiologic Technologist | 2320 N Orange Ave, Orlando, FL 32804-5506 | 2007-05-22 |
| 1437244001 | Robert L Rothbard | Internal Medicine | 2320 N Orange Ave, Orlando, FL 32804 | 2006-10-03 |
| 1265527881 | James L Bolen | Internal Medicine | 2320 N Orange Ave, Orlando, FL 32804 | 2006-10-03 |
| 1821182247 | Robert B Boswell | Internal Medicine | 2320 N Orange Ave, Orlando, FL 32804 | 2006-10-02 |
| 1285667139 | Sohrab Gerami, M.d., Pa. | Specialist | 2320 N Orange Ave, Suite 201, Orlando, FL 32804-5506 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881252716 | Alyssa Bass | Counselor | 3130 Edgewater Dr, Orlando, FL 32804 | 2019-06-05 |
| 1841856366 | Debora Cheryl Ramirez | Technician/Technologist | 1231 North Orange Ave, Orlando, FL 32804 | 2019-05-10 |
| 1679074009 | Jessica Dobbs | Counselor | 3801 Grant Blvd, Orlando, FL 32804 | 2018-02-21 |
| 1881109031 | Pedro Mendez Jr. | Counselor | 1800 W. Colonial Drive, Orlando, FL 32804 | 2017-12-11 |
| 1902259310 | Michael Lo | Nurse Practitioner | 2400 N Orange Ave Ste 302, Orlando, FL 32804 | 2016-07-20 |
| 1083093595 | Michael Gregg | Student in an Organized Health Care Education/Training Program | 2415 North Orange Avenue, Suite 400, Orlando, FL 32804 | 2015-05-29 |
| 1922485473 | Lindsay Rae Piet | Physician Assistant | 1910 N. Orange Ave., Orlando, FL 32804 | 2015-05-05 |
| 1093106189 | College Park Community Acupuncture & Herbal Medicine | Acupuncturist | 710 W. Princeton Street., Suite A, Orlando, FL 32804 | 2015-02-10 |
| 1164822359 | Orlando Sleep Solutions, LLC | Durable Medical Equipment & Medical Supplies | 2921 N. Orange Ave, Orlando, FL 32804 | 2014-08-26 |
| 1780926741 | Joseph Arturo Reza | Student in an Organized Health Care Education/Training Program | 2415 N Orange Ave #400, Orlando, FL 32804 | 2013-03-17 |
| Find all providers in zip 32804 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992282586 | Siddhi Pllc | Internal Medicine | 9398 Wickham Way, Orlando, FL 32836-5519 | 2018-07-26 |
| 1699018010 | Gregory Michael Sprung | Internal Medicine | 1745 N Mills Ave Ste 100, Orlando, FL 32803-1876 | 2013-04-03 |
| 1083990956 | C Raghavan Md Pa | Internal Medicine | 7484 Docs Grove Circle, Orlando, FL 32819 | 2011-10-24 |
| 1619260239 | Naveen Bellam | Internal Medicine | Florida Hospital, 2415 N Orange Ave Suite 700, Orlando, FL 32804 | 2011-05-16 |
| 1336470699 | Ernesto Fernandez, M.d., P.a. | Internal Medicine | 114 W. Underwood Street, Suite A, Orlando, FL 32806-1112 | 2010-01-26 |
| 1871734467 | Enrique A Calle M D Pa | Internal Medicine | 8519 Saint Marino Blvd, Orlando, FL 32836-8765 | 2009-03-12 |
| 1033306352 | Cardiac Consultants P.a. | Internal Medicine | 11183 S Orange Blossom Trl Ste F, Orlando, FL 32837-9402 | 2007-10-01 |
| 1477764900 | Suvarchala Devi Dara | Internal Medicine | 5540 E Grant St Ste B, Orlando, FL 32822-1668 | 2007-05-25 |
| 1235349762 | Jose Antonio Martinez-ojeda | Internal Medicine | 258 S Chickasaw Trl Ste 203, Orlando, FL 32825-3558 | 2007-05-23 |
| 1518175470 | Interventional Cardiology and Vascular Consultants, P.l.c. | Internal Medicine | 1206 N. Mills Ave, Orlando, FL 32803 | 2007-05-21 |
| Find all providers in ORLANDO | ||||
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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.