MRS. DEANE RUTH BERG (NPI# 1982658001) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1982658001 |
Entity Type | Individual |
Full Name | MRS. DEANE RUTH BERG |
Credential | P.A.-C |
Practice Address |
2501 W. 22nd Street Sioux Falls SD 57117-1305 |
Practice Telephone | 6053363230 |
Practice Fax Number | 6053734008 |
Mailing Telephone | 6053363230 |
Mailing Fax Number | 6053734008 |
Enumeration Date | 2006-05-22 |
Last Update Date | 2012-09-11 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
0381 | SD | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
2501 W. 22ND STREET |
City | SIOUX FALLS |
State | SD |
Zip Code | 57117-1305 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699040915 | Tammy Lynn Reiff | Social Worker | 2501 W. 22nd Street, Sioux Falls, SD 57117-5046 | 2012-03-20 |
1467744201 | Stephanie Y Hung | Surgery | 2501 W. 22nd Street, Att: Dr. Hung, Sioux Falls, SD 57105 | 2011-05-12 |
1366488900 | Jem J. Hof | Physical Medicine & Rehabilitation | 2501 W. 22nd Street, Sioux Falls, SD 57117-5046 | 2006-06-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699299685 | Brooke Emily Welker | Nurse Practitioner | 1305 W 18th St., Sioux Falls, SD 57117 | 2017-08-01 |
1093075053 | Hillary Nicole Turner | Registered Nurse | 1325 S. Cliff Avenue, Plaza 4, Suite 509, Sioux Falls, SD 57117 | 2012-05-24 |
1881971919 | Patrick Ryan Kelly | Registered Nurse | 1600 North Drive, Sioux Falls, SD 57117 | 2011-11-03 |
1538319116 | Julie Lindgren | Pharmacist | 2501 West 22nd St, Sioux Falls, SD 57117 | 2008-09-19 |
1003073917 | Dept of Veteran Affairs | Psychiatric Hospital | 2501 W 22nd St Sf Va Medical Center, 116a, Sioux Falls, SD 57117 | 2008-05-19 |
1295837656 | Phillip Edward Little | Internal Medicine | 2501 W. 22nd, Sioux Falls, SD 57117 | 2006-09-05 |
1659376648 | Roger I Van Riper | Chiropractor | 4925 E 26th St, Sioux Falls, SD 57117 | 2005-06-16 |
1962987081 | Gabrielle Elizabeth Price | Nurse Practitioner | 1301 W. 18th Street, Sioux Falls, SD 57117 | 2018-09-25 |
1033622568 | Paige Irene Deperno | Physician Assistant | 1305 W 18th St., Sioux Falls, SD 57117 | 2017-11-06 |
1104367440 | Clinton Bresee | Nurse Anesthetist, Certified Registered | 1305 W 18th St, Anesthesia Dept, Sioux Falls, SD 57117 | 2017-03-20 |
Find all providers in zip 57117 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649368960 | Gary Neil Wurgler | Physician Assistant | 47226 S Rhonda Ave, Sioux Falls, SD 57108 | 2006-10-11 |
1619968963 | Jane A. Hunt | Physician Assistant | 26574 466th Ave, Sioux Falls, SD 57106-6903 | 2005-11-03 |
1629550512 | Jessica Powell | Physician Assistant | 4520 W 69th St, Sioux Falls, SD 57108-8148 | 2018-09-06 |
1033622568 | Paige Irene Deperno | Physician Assistant | 1305 W 18th St., Sioux Falls, SD 57117 | 2017-11-06 |
1275052953 | Gabrielle Eileen Iversen | Physician Assistant | 2501 W 22nd St, Sioux Falls, SD 57105-1305 | 2017-09-14 |
1154756054 | Sarah Catherine Engbers | Physician Assistant | 6701 S Minnesota Ave, Sioux Falls, SD 57108-2591 | 2013-09-10 |
1528308228 | Cassandra M Swann | Physician Assistant | 810 E 23rd St, Sioux Falls, SD 57105-2135 | 2013-02-18 |
1679813448 | Stephanie Nicole Bonner | Physician Assistant | 2501 W 22nd St, Sioux Falls, SD 57105-1305 | 2013-02-15 |
1013215672 | Kaitlin M Feehan | Physician Assistant | 1417 S. Cliff Ave., Ste 010, Sioux Falls, SD 57105-1014 | 2011-03-07 |
1477703809 | Elizabeth Ann Soundy | Physician Assistant | 2701 S Minnesota Ave, Suite 3, Sioux Falls, SD 57105-4744 | 2008-09-22 |
Find all providers in SIOUX FALLS |
City | SIOUX FALLS |
Zip Code | 57117 |
Please comment or provide details below to improve the information on MRS. DEANE RUTH BERG.
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.