DR. SUSAN AMELIA BERRY (NPI# 1982640264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982640264 |
| Entity Type | Individual |
| Full Name | DR. SUSAN AMELIA BERRY |
| Credential | M.D. |
| Practice Address |
University of Minnesota Physicians 516 Delaware Street Se, Pwb Fourth Floor, Room 4-100 Minneapolis MN 55455 |
| Mailing Address |
University of Minnesota Physicians 420 Delaware Street Se, Mmc 75 Minneapolis MN 55455 |
| Practice Telephone | 6126266777 |
| Mailing Telephone | 6126245965 |
| Mailing Fax Number | 6126262993 |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2012-04-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207SG0201X |
Medical Genetics Specialization: Clinical Genetics (M.D.) |
26368 | MN | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 26368 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | MEDICA PRIMARY | 1270280 | 01 |
| MN | ARAZ | 24479 | 01 |
| MN | 666773200 | 05 | |
| NE | 41184394337 | 05 | |
| MN | HEALTHPARTNERS | HP12898 | 01 |
| MN | BCBS | 2T262BE | 01 |
| MN | UCARE | 100978 | 01 |
| MT | 0052275 | 05 | |
| MN | PREFERRED ONE | 1010201 | 01 |
| IA | 1990358 | 05 | |
| WI | 30580800 | 05 | |
| MN | MEDICA CHOICE | 12-24753 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528447794 | Susan Berry | Licensed Practical Nurse | 1 Ohanlon Place, Barboursville, WV 25504 | 2015-05-21 |
| 1205906542 | Susan Berry | Psychologist | 799 Hebron Ave, Second Floor, Glastonbury, CT 06033 | 2006-11-08 |
| 1861416240 | Susan Berry | Nurse Practitioner | 218 N Pine Street, Halfway, OR 97834 | 2006-07-27 |
| 1780196360 | Susan Laura Berry | Physical Therapy Assistant | 202 Painter St, Galax, VA 24333-3830 | 2017-11-03 |
| 1225428691 | Susan Anne Berry | Massage Therapist | 731 Gage Blvd, Richland, WA 99352-9701 | 2015-01-23 |
| 1457794265 | Susan Jones Berry | Pharmacist | 5651 Holmes Ave Nw, Huntsville, AL 35816-1817 | 2013-04-10 |
| 1003139692 | Susan Neely Berry | Chiropractor | 2470 Flowood Dr, Suite 125, Flowood, MS 39232-9019 | 2010-03-10 |
| 1992849707 | Susan Berry | Specialist/Technologist | 1270 Kings Hwy, Lewes, DE 19958-1735 | 2007-02-16 |
| 1053479493 | Susan Percita Berry | Counselor | 592 Rio Lindo Avenue, Chico, CA 95926 | 2006-12-05 |
| 1154429868 | Susan M Berry | Ophthalmology | 11601 Toepperwein Rd, Live Oak, TX 78233-3147 | 2006-09-20 |
| Street Address |
UNIVERSITY OF MINNESOTA PHYSICIANS 516 DELAWARE STREET SE, PWB FOURTH FLOOR, ROOM 4-100 |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679528830 | Sarah A Cooley | Internal Medicine | University of Minnesota Physicians, 420 Delaware St Se, Mmc 136, Minneapolis, MN 55455 | 2006-05-24 |
| 1659877181 | Massimo Griselli | Pediatrics | University of Minnesota Physicians, 500 Harvard Street Se, Minneapolis, MN 55455-0363 | 2018-04-03 |
| 1902201221 | Seena Susan George | Nurse Practitioner | University of Minnesota Physicians, Clinics and Surgery Center, 909 Fulton Street Se, Minneapolis, MN 55455 | 2014-10-29 |
| 1508087511 | Tereza Marta Cervenka | Internal Medicine | University of Minnesota Physicians, 516 Delaware St Se, Clinic 2a, Minneapolis, MN 55455 | 2007-05-01 |
| 1346469970 | Stuart Trent Guthrie | Orthopaedic Surgery | University of Minnesota Physicians, 2512 South 7th St, Suite R102, Minneapolis, MN 55454 | 2007-04-24 |
| 1376668251 | Donavon John Hess | Surgery | University of Minnesota Physicians, 516 Delaware St Se, Room 4-100, Minneapolis, MN 55455 | 2007-03-20 |
| 1891836607 | Leon D Sabath | Internal Medicine | University of Minnesota Physicians, 516 Delaware Street Se Clinic 6b, Minneapolis, MN 55455 | 2007-02-12 |
| 1508907882 | Melanie Jean Hanlon | Nurse Practitioner | University of Minnesota Physicians, 516 Delaware St Se 4-100 Pwb, Clinic 4a, Minneapolis, MN 55455 | 2007-02-09 |
| 1912054214 | Muhammad Fareed Khan Suri | Psychiatry & Neurology | University of Minnesota Physicians, 516 Delaware St Se, Clinic 1a, Minneapolis, MN 55455 | 2007-01-05 |
| 1356404503 | Sue V Petzel | Psychologist | University of Minnesota Physicians, 606 24th Ave S, Suite 300, Minneapolis, MN 55455-5545 | 2006-12-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932715679 | Kara Biscobing | Nurse Anesthetist, Certified Registered | M Health Fairview Ummc East Bank 3-307, 500 Harvard Street, Minneapolis, MN 55455 | 2020-09-18 |
| 1982213237 | Yue Hu | Dentist | 515 Delaware St. Se Malcolm Moos Health Sciences Tower, Room 7-174, Minneapolis, MN 55455 | 2020-07-23 |
| 1952922148 | Jacob Laurence Tigner | Student in an Organized Health Care Education/Training Program | 420 Delaware Street Se, Mmc 284, Minneapolis, MN 55455 | 2020-04-29 |
| 1710507538 | Rachael Grundman | Student in an Organized Health Care Education/Training Program | 420 Delaware St, Mmc 395, Minneapolis, MN 55455 | 2020-04-22 |
| 1497375240 | Sanjay Dhawan | Student in an Organized Health Care Education/Training Program | 420 Delaware St. Se, Mmc 195, Minneapolis, MN 55455 | 2020-04-22 |
| 1508486549 | Dariel Andres Diaz | Student in an Organized Health Care Education/Training Program | 420 Se Delaware Street, Mmc 195, Minneapolis, MN 55455 | 2020-04-20 |
| 1275186280 | Kerem Ozturk | Radiology | B-226 Mayo Memorial Building, Mmc 292 420 Delaware Street S.e., Minneapolis, MN 55455 | 2019-07-18 |
| 1275194631 | Andres Jose Gonzalez Coba | Student in an Organized Health Care Education/Training Program | 420 Delaware Street Se Mmc 284, Minneapolis, MN 55455 | 2019-06-26 |
| 1841850278 | Brendan Andrew Schleyer | Dentist | 515 Delaware St Se, Div of Periodontology, Moos Tower, 7-368, Minneapolis, MN 55455 | 2019-06-18 |
| 1932767399 | Claire-audrey Y Bayan | Student in an Organized Health Care Education/Training Program | 420 Delaware Street, Mmc 98, Minneapolis, MN 55455 | 2019-05-31 |
| Find all providers in zip 55455 | ||||
| Taxonomy Code | 207SG0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Medical Genetics |
| Specialization | Clinical Genetics (M.D.) |
| A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Medical Genetics, 2007. http://www.abmg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Medical Genetics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841686573 | Amy Nicole Lebedoff | Medical Genetics | 2525 Chicago Ave S, Minneapolis, MN 55404-4518 | 2015-04-09 |
| 1124432885 | Anjali Aggarwal | Medical Genetics | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2014-06-19 |
| 1104172584 | Noelle Andrea Ventura Fabie | Medical Genetics | 2525 Chicago Ave, Minneapolis, MN 55404-4518 | 2012-08-03 |
| 1932429917 | Vikas Bhambhani | Medical Genetics | 2525 Chicago Ave, Minneapolis, MN 55404-4518 | 2010-06-01 |
| 1982742870 | Heidi Leigh Thorson | Medical Genetics | 800 E 28th St, Minneapolis, MN 55407-3723 | 2007-02-02 |
| 1588735005 | Chester B Whitley | Medical Genetics | University of Minnesota Physicians, 516 Delaware Street Se, Room 4-100, Minneapolis, MN 55455 | 2006-11-13 |
| 1063449932 | Lawrence Richard Charnas | Medical Genetics | University of Minnesota Physicians, 516 Delaware Street Se, Minneapolis, MN 55455 | 2006-06-27 |
| 1841287810 | Mary Ella M Pierpont | Medical Genetics | 2450 Riverside Ave, Explorer Clinic 12th Floor, Minneapolis, MN 55454-1450 | 2005-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912044918 | Sandra Louise Hyvarinen Davenport | Medical Genetics | 6109 W 105th St, Bloomington, MN 55438-1833 | 2007-01-30 |
| 1568544070 | Lisa Ann Schimmenti | Medical Genetics | 200 1st Swst, Rochester, MN 55905 | 2006-10-20 |
| 1316595531 | Karthik Muthusamy | Medical Genetics | 200 1st St Sw, Rochester, MN 55905-0001 | 2019-08-30 |
| 1376899203 | Eva Morava-kozicz | Medical Genetics | 200 1st St Sw, Rochester, MN 55905-0001 | 2012-07-30 |
| 1568697829 | Pavel N. Pichurin | Medical Genetics | 200 1st St Sw, Rochester, MN 55905-0001 | 2009-05-15 |
| 1114185154 | Marcelo Paul Vargas | Medical Genetics | Mayo Clinic, Rochester, MN 55905-0001 | 2008-05-27 |
| 1598964595 | Brendan Coe Lanpher | Medical Genetics | 200 1st St Sw, Rochester, MN 55905-0001 | 2007-07-11 |
| 1154391555 | Virginia V Michels | Medical Genetics | 200 1st St Sw, Rochester, MN 55905-0001 | 2006-01-26 |
| 1588634992 | Dusica Babovic-vuksanovic | Medical Genetics | 200 1st St Sw, Rochester, MN 55905 | 2006-01-26 |
| 1356321897 | Jay W Ellison | Medical Genetics | 200 1st St Sw, Rochester, MN 55905-0001 | 2006-01-19 |
| Find all providers with the same taxonomy | ||||
| City | MINNEAPOLIS |
| Zip Code | 55455 |
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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.