Jonathan R Berger (NPI# 1598086712, PAC ID# 1658689955) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1598086712 |
| PAC ID by PECOS | 1658689955 |
| Professional Enrollment ID | I20151007000590 |
| Full Name | Jonathan R Berger |
| Organization Legal Name | MID SOUTH IMAGING AND THERAPEUTICS PA |
| Address |
4800 E Johnson Ave Jonesboro AR 72401-8413 |
| Phone Number | 9017471000 |
| Gender | M |
| Medical School | UNIVERSITY OF TENNESSEE COLLEGE OF MEDICINE |
| Graduation Year | 2010 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 9133106396 |
| Number of Group Practice Members | 49 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440048 | BAPTIST MEMORIAL HOSPITAL |
| 250141 | BAPTIST MEMORIAL HOSPITAL DESOTO |
| 250044 | BAPTIST MEMORIAL HOSPITAL BOONEVILLE |
| 440016 | BAPTIST MEMORIAL HOSPITAL HUNTINGDON |
| 440131 | BAPTIST MEMORIAL HOSPITAL TIPTON |
| Address | Phone | Organization |
|---|---|---|
| 7600 Wolf River Blvd, Germantown, TN 38138-1785 | 9013124033 | WEST TENNESSEE IMAGING LLC |
| 8040 Wolf River Blvd, Suite 200, Germantown, TN 38138-1775 | 9017471000 | MID SOUTH IMAGING AND THERAPEUTICS PA |
| 4800 E Johnson Ave, Jonesboro, AR 72401-8413 | 9017471000 | MID SOUTH IMAGING AND THERAPEUTICS PA |
| 6019 Walnut Grove Rd, Memphis, TN 38120-2113 | 9012279000 | MID SOUTH IMAGING AND THERAPEUTICS PA |
| 7601 Southaven Cir W, Southaven, MS 38671-5223 | 6627724000 | MID SOUTH IMAGING AND THERAPEUTICS PA |
| 7601 Southcrest Pkwy, Southaven, MS 38671-4739 | 9013839478 | MID SOUTH IMAGING AND THERAPEUTICS PA |
| Organization Legal Name | MID SOUTH IMAGING AND THERAPEUTICS PA |
| Physicians | 26 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tyson Stone | Nurse Practitioner | Mid South Imaging and Therapeutics Pa | 7601 Southaven Cir W, Southaven, MS 38671-5223 |
| Joe R Krisle Jr. | Diagnostic Radiology | Mid South Imaging and Therapeutics Pa | 1500 W Poplar, Collierville, TN 38017-0601 |
| Joseph C Sullivan Iii | Diagnostic Radiology | Mid South Imaging and Therapeutics Pa | 7601 Southcrest Pkwy, Southaven, MS 38671-4739 |
| Lindsay M Barton | Nurse Practitioner | Mid South Imaging and Therapeutics Pa | 7601 Southcrest Pkwy, Southaven, MS 38671-4739 |
| Alan J Mcleod | Diagnostic Radiology | Mid South Imaging and Therapeutics Pa | 7601 Southcrest Pkwy, Southaven, MS 38671-4739 |
| Daniel A Craven Jr. | Diagnostic Radiology | Mid South Imaging and Therapeutics Pa | 4800 E Johnson Ave, Jonesboro, AR 72401-8413 |
| Craig L Lipman | Diagnostic Radiology | Mid South Imaging and Therapeutics Pa | 7601 Southcrest Pkwy, Southaven, MS 38671-4739 |
| Allen K Tonkin | Diagnostic Radiology | Mid South Imaging and Therapeutics Pa | 1500 W Poplar, Collierville, TN 38017-0601 |
| John A Scott | Diagnostic Radiology | Mid South Imaging and Therapeutics Pa | 4800 E Johnson Ave, Jonesboro, AR 72401-8413 |
| Amit S Bhakoo | Diagnostic Radiology | Mid South Imaging and Therapeutics Pa | 4800 E Johnson Ave, Jonesboro, AR 72401-8413 |
| Street Address |
4800 E JOHNSON AVE |
| City | JONESBORO |
| State | AR |
| Zip | 72401-8413 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Martin A Vaughn | Certified Registered Nurse Anesthetist (crna) | Northeast Arkansas Clinic Charitable Foundation, Inc. | 4800 E Johnson Ave, Nea Baptist Memorial Hospital, Jonesboro, AR 72401-8413 |
| Jarryd A Dempsey | Physical Therapy | Northeast Arkansas Clinic Charitable Foundation, Inc. | 4800 E Johnson Ave, Jonesboro, AR 72401-8413 |
| Ernest James Mcclinton Iii | Emergency Medicine | Southeastern Emergency Physicians LLC | 4800 E Johnson Ave, Jonesboro, AR 72401-8413 |
| Michael E Davison | Certified Registered Nurse Anesthetist (crna) | Northeast Arkansas Clinic Charitable Foundation, Inc. | 4800 E Johnson Ave, Nea Baptist Memorial Hospital, Jonesboro, AR 72401-8413 |
| Oksana Redko | Anesthesiology | Northeast Arkansas Clinic Charitable Foundation, Inc. | 4800 E Johnson Ave, Nea Baptist Memorial Hospital, Jonesboro, AR 72401-8413 |
| Laura A Ferguson | Certified Registered Nurse Anesthetist (crna) | Northeast Arkansas Clinic Charitable Foundation, Inc. | 4800 E Johnson Ave, Nea Baptist Memorial Hospital, Jonesboro, AR 72401-8413 |
| Justin K Martin | Occupational Therapy | Northeast Arkansas Clinic Charitable Foundation, Inc. | 4800 E Johnson Ave, Jonesboro, AR 72401-8413 |
| Christopher M Bruno | Diagnostic Radiology | Northeast Arkansas Clinic Charitable Foundation, Inc. | 4800 E Johnson Ave, Jonesboro, AR 72401-8413 |
| Daniel A Craven Jr. | Diagnostic Radiology | Mid South Imaging and Therapeutics Pa | 4800 E Johnson Ave, Jonesboro, AR 72401-8413 |
| Jacob Jones | Physical Therapy | Northeast Arkansas Clinic Charitable Foundation, Inc. | 4800 E Johnson Ave, Jonesboro, AR 72401-8413 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lawrence W Gordon | Ophthalmology | Mid South Retina Associates, LLC | 820 E Matthews, E, Jonesboro, AR 72401 |
| Carl J Abraham Jr. | Infectious Disease | Doctors Health Group, Inc | 3637 B E Johnson Ave, St. Bernards First Care Hilltop, Jonesboro, AR 72401-1808 |
| Brookshield Laurent | Family Medicine | Doctors Health Group, Inc | 3637 B E Johnson Ave, St. Bernards First Care Hilltop, Jonesboro, AR 72401-1808 |
| Joy C Skaug | Emergency Medicine | Doctors Health Group, Inc | 3637 B E Johnson Ave, St. Bernards First Care Hilltop, Jonesboro, AR 72401-1808 |
| Megan L Moll | Optometry | Hilltop Eyecare Pllc | 3705 E Johnson Ave, Jonesboro, AR 72401-1858 |
| Jacob P Moll | Optometry | Hilltop Eyecare Pllc | 3705 E Johnson Ave, Jonesboro, AR 72401-1858 |
| Cristina L Shaw | Clinical Social Worker | St Bernards Hospital Inc | 2712 E Johnson, Jonesboro, AR 72401-1874 |
| Karen J Reinertsen | Psychiatry | St. Bernards Hospital Inc | 2712 E Johnson Ave, St Bernards Behav, Jonesboro, AR 72401-1874 |
| Eloise E Weeks | Psychiatry | St. Bernards Hospital Inc | 2712 E Johnson Ave, St Bernards Behav, Jonesboro, AR 72401-1874 |
| Lillian Somner | Psychiatry | St. Bernards Hospital Inc | 2712 E Johnson Ave, St Bernards Behav, Jonesboro, AR 72401-1874 |
| Find all physicians in zip 72401 | |||
| City | JONESBORO |
| Zip Code | 72401 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | JONESBORO + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Jonathan R Berger.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.