RECAREDO TRINIDAD BERBANO (NPI# 1942275748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1942275748 |
Entity Type | Individual |
Full Name | RECAREDO TRINIDAD BERBANO |
Credential | MD |
Practice Address |
241 Claremont Ave Tamaqua PA 18252-4302 |
Mailing Address |
Po Box 783311 Philadelphia PA 19178-3311 |
Practice Telephone | 5702257211 |
Practice Fax Number | 5705017939 |
Mailing Telephone | 4848844500 |
Mailing Fax Number | 4848840699 |
Enumeration Date | 2006-02-23 |
Last Update Date | 2020-02-12 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
MD 418103 | PA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PA | 0018879500003 | 05 | |
PA | 001887950-0005 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
445 Wyoming Avenue, Kingston, PA 18704 | 5707180520 | 5707180522 |
Street Address |
241 CLAREMONT AVE |
City | TAMAQUA |
State | PA |
Zip Code | 18252-4302 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649780099 | Jillian Marie Mcardle | Nurse Practitioner | 241 Claremont Ave, Tamaqua, PA 18252-4302 | 2017-10-11 |
1932167020 | Rebecca Jean Odorizzi | Family Medicine | 241 Claremont Ave, Tamaqua, PA 18252-4302 | 2006-05-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841351046 | Schuylkill Cardiology Consultants, P.C. | Internal Medicine | 17 West Broad Street, Tamaqua, PA 18252 | 2006-12-12 |
1982700282 | Jessica Herness | Physical Therapist | 219 Claremont Avenue, Tamaqua, PA 18252 | 2006-09-15 |
1245272392 | Bio-medical Applications of Pennsylvania, Inc | Clinic/Center | Tamaqua Plaza Shopping Ctr., Rte. 209 S., Fmc of Tamaqua Ckd Services, Tamaqua, PA 18252 | 2006-06-12 |
1891777900 | Frank J Bobick | Ophthalmology | 37 Medical Crossing Rd, Tamaqua, PA 18252 | 2005-11-15 |
1811979958 | Angela G Houser | Ophthalmology | 37 Medical Crossing Road, Tamaqua, PA 18252 | 2005-11-15 |
1770028136 | St. Luke's Physician Group Inc. | Otolaryngology | 120 Pine St, Suite B, Tamaqua, PA 18252 | 2016-12-21 |
1285883553 | Carbon - Schuylkill Community Hospital Inc | Clinic/Center | 34 S Railroad St, Tamaqua, PA 18252 | 2008-09-11 |
1629109053 | Wal-mart Stores East, L.p. | Technician/Technologist | 35 Plaza Dr, Tamaqua, PA 18252 | 2007-03-08 |
1649366857 | Charles E Fey | Optometrist | 37 Medical Crossing Road, Tamaqua, PA 18252 | 2006-10-05 |
1366536047 | Joseph S Pancher | Optometrist | 37 Medical Crossing Road, Tamaqua, PA 18252 | 2006-10-03 |
Find all providers in zip 18252 |
Taxonomy Code | 207RE0101X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Endocrinology, Diabetes & Metabolism |
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
---|---|---|---|---|
1780219022 | Millcreek Community Hospital | Internal Medicine | 5535 Peach St Fl 1, Erie, PA 16509-2603 | 2020-03-06 |
1972133056 | Taylor Talasky | Internal Medicine | 311 Center St Apt 2, Lock Haven, PA 17745-2710 | 2020-01-17 |
1316425275 | Pinnacle Health Medical Services | Internal Medicine | 3130 Grandview Rd Ste 2, Hanover, PA 17331-9134 | 2018-08-02 |
1841777190 | Katelyn S Reisenauer | Internal Medicine | 240 W 11th St Ste 2, Erie, PA 16501-1758 | 2018-07-19 |
1871094623 | Adams Endocrinology Associates LLC | Internal Medicine | 20 Expedition Trl Ste 101, Gettysburg, PA 17325-8599 | 2018-02-27 |
1427561075 | Diabetes and Endocrinology Consultants of Pennsylvania LLC | Internal Medicine | 1234 Bridgetown Pike Ste 310, Feasterville Trevose, PA 19053-2208 | 2017-11-06 |
1053830646 | Langhorne Physician Services | Internal Medicine | 1205 Langhorne Newtown Rd Ste 302, Langhorne, PA 19047 | 2017-09-14 |
1255857538 | Mercy Management of Sepa | Internal Medicine | 1501 Lansdowne Ave Ste 305, Darby, PA 19023-1333 | 2017-08-17 |
1912429739 | Gateway Medical Specialists, LLC | Internal Medicine | 795 E Marshall St Ste G2, West Chester, PA 19380-4400 | 2017-07-13 |
1801336466 | Sabrina Meftali | Internal Medicine | St. Luke's Center for Diabetes and Endocrinology, 5445 Lanark Road Suite 300, Center Valley, PA 18034 | 2017-03-01 |
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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.