EVAN R BERG (NPI# 1982692596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1982692596 |
Entity Type | Individual |
Full Name | EVAN R BERG |
Credential | MD |
Practice Address |
1 Boston Medical Ctr Pl Dowling 1 South Boston MA 02118-2908 |
Mailing Address |
720 Harrison Ave Dob 503 Boston MA 02118-2371 |
Practice Telephone | 6174145481 |
Practice Fax Number | 6174147759 |
Enumeration Date | 2005-10-07 |
Last Update Date | 2015-05-13 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207P00000X | Emergency Medicine | 232041 | NY | Allopathic & Osteopathic Physicians |
Y | 207P00000X | Emergency Medicine | 215357 | MA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MA | BCBS | J40162 | 01 |
MA | 110007139A | 05 | |
MA | TUFTS | 494928 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811425226 | Evan Berg | Emergency Medicine | 50 N Perry St, Pontiac, MI 48342-2217 | 2017-05-30 |
1497297873 | Evan Berg | Social Worker | 1145 Sagamore Ave, Portsmouth, NH 03801-5503 | 2016-11-16 |
1821261512 | Evan Ross Berg | Student in an Organized Health Care Education/Training Program | 185 Pilgrim Rd, Deaconess 311, Boston, MA 02215-5324 | 2008-04-02 |
Street Address |
1 BOSTON MEDICAL CTR PL DOWLING 1 SOUTH |
City | BOSTON |
State | MA |
Zip Code | 02118-2908 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235138918 | Joy Vreeland | Pharmacist | 1 Boston Medical Ctr Pl, Dept of Pharmacy - Atrium 2, Boston, MA 02118-2908 | 2005-07-15 |
1336755230 | Abigail Martin | Student in an Organized Health Care Education/Training Program | 1 Boston Medical Ctr Pl, Boston, MA 02118-2908 | 2020-09-17 |
1447865894 | Caitlin Clark | Social Worker | 1 Boston Medical Ctr Pl, Boston, MA 02118-2908 | 2020-09-12 |
1841805710 | Julia Dobner-pereira | Psychologist | 1 Boston Medical Ctr Pl, Boston, MA 02118-2908 | 2020-09-09 |
1184241325 | Meissane Benbrahim | Pharmacist | 1 Boston Medical Ctr Pl, Boston, MA 02118-2908 | 2020-07-04 |
1801410345 | Heping Sheng | Student in an Organized Health Care Education/Training Program | 1 Boston Medical Ctr Pl, Boston, MA 02118-2908 | 2020-06-01 |
1013531789 | Jillian Hamlin | Physician Assistant | 1 Boston Medical Ctr Pl, Boston, MA 02118-2908 | 2020-05-29 |
1730701921 | Michele Elaine Chan | Student in an Organized Health Care Education/Training Program | 1 Boston Medical Ctr Pl, Boston, MA 02118-2908 | 2020-05-11 |
1144849431 | Meagan Hickey | Counselor | 1 Boston Medical Ctr Pl, Boston, MA 02118-2908 | 2020-04-16 |
1922636109 | Tanesha S Beckford | Student in an Organized Health Care Education/Training Program | 1 Boston Medical Ctr Pl, Boston, MA 02118-2908 | 2020-04-01 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649870023 | Carlos E Salazar | Counselor | Hcrc 23 Bradston St., Boston, MA 02118 | 2020-10-27 |
1780292607 | Jinal Gandhi | Student in an Organized Health Care Education/Training Program | Shapiro Primary Care, 725 Albany Street, Boston, MA 02118 | 2020-07-16 |
1669094777 | German Eduardo Velez | Student in an Organized Health Care Education/Training Program | One Boston Medical Center Place Boston Medical Center, Boston, MA 02118 | 2020-05-12 |
1255969895 | Isabela Medeiros Heringer Pereira | Student in an Organized Health Care Education/Training Program | 670 Albany Stree, 4th Floor, Boston, MA 02118 | 2020-03-30 |
1033746466 | Karan Sunil Hingorani | Student in an Organized Health Care Education/Training Program | Shapiro Primary Care, 725 Albany Street, Precepting Room, Boston, MA 02118 | 2020-03-25 |
1326672791 | Azza Ahmed | Dentist | 635 Albany St. G-744, Boston, MA 02118 | 2020-02-25 |
1538707401 | Jane Margolis | Social Worker | 840 Harrison Ave., Dowling 2 South, Boston, MA 02118 | 2019-12-11 |
1871134833 | Supontep Teerakanok | Dentist | Henry Goldman School of Dental Medicine, 635 Albany St, Boston, MA 02118 | 2019-10-01 |
1750939583 | Qasim Silman Ajmi | Orthopaedic Surgery | Department of Orthopaedic Surgery Boston Medical Center, 850 Harrison Ave Dowling 2 North, Boston, MA 02118 | 2019-08-26 |
1922655539 | Jami Ryan Pollard | Physician Assistant | 840 Harrison Avenue, Menino Building, Boston, MA 02118 | 2019-08-20 |
Find all providers in zip 02118 |
Taxonomy Code | 207P00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Emergency Medicine |
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. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366947954 | Karrin Weisenthal | Emergency Medicine | 1 Boston Pl Rm 1322, Boston, MA 02108 | 2018-03-27 |
1942705884 | Jillian Britt Duffy | Emergency Medicine | 1 Boston Medical Ctr Pl Rm 1322, Boston, MA 02118 | 2018-03-23 |
1245760024 | Nicholas D. Kurtzman | Emergency Medicine | One Deaconess Road Rosenberg Building, 2nd Floor, Department of Emergency Medicine, Boston, MA 02215 | 2017-06-14 |
1942730007 | Alec John Koffer | Emergency Medicine | 1 Deaconess Rd Bldg 2nd, Boston, MA 02215-5321 | 2017-06-12 |
1609257609 | Andrew Dean Alex Marshall | Emergency Medicine | 1 Deaconess Rd Fl 2, Boston, MA 02215-5321 | 2015-06-16 |
1124414446 | Alister Martin | Emergency Medicine | 75 Francis St # At, Boston, MA 02115-6110 | 2015-04-14 |
1699188524 | Vijay Christopher Kannan | Emergency Medicine | 1 Deaconess Road W/cc2, Boston, MA 02215 | 2014-06-09 |
1659798809 | Jonathan Van Ornam | Emergency Medicine | 75 Francis St # 236a, Boston, MA 02115-6110 | 2014-03-26 |
1871938597 | Christine Lee | Emergency Medicine | Department of Emergency Medicine, Beth Israel Deaconess, One Deaconess Road, Rosenberg Building 2, Boston, MA 02215-5321 | 2013-05-08 |
1497098149 | Andrew Perechocky | Emergency Medicine | 1 Boston Medical Center Place, Dowling 1 South Rm 1322, Boston Medical Center, Dept. of Emergency Medicine, Boston, MA 02118 | 2013-04-01 |
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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.