Robert C Berlin (NPI# 1700990777, PAC ID# 4688566383) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
Nation Provider ID (NPI) | 1700990777 |
PAC ID by PECOS | 4688566383 |
Professional Enrollment ID | I20070221000584 |
Full Name | Robert C Berlin |
Organization Legal Name | JACKSON HOLE MEDICAL IMAGING PC |
Address |
625 E Broadway Jackson WY 83001 |
Phone Number | 8008777078 |
Gender | M |
Medical School | STATE UNIVERSITY OF NEW YORK HEALTH SCIENCE CENTER OF SYRACUSE |
Graduation Year | 1985 |
Primary Specialty | DIAGNOSTIC RADIOLOGY |
Group Practice PAC ID | 0648162339 |
Number of Group Practice Members | 5 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
530015 | ST JOHNS MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
625 E Broadway, Jackson, WY 83001 | 8008777078 | JACKSON HOLE MEDICAL IMAGING PC |
625 E Broadway, St Johns Medical Center Dept of Radiology, Jackson, WY 83001 | 8008777078 | JACKSON HOLE MEDICAL IMAGING PC |
Organization Legal Name | JACKSON HOLE MEDICAL IMAGING PC |
Physicians | 6 |
Name | Specialty | Organization | Address |
---|---|---|---|
Christopher Sean Haling | Diagnostic Radiology | Jackson Hole Medical Imaging PC | 625 E Broadway, Dept of Radiology, Jackson, WY 83001-8642 |
Robert Paul Jones | Diagnostic Radiology | Jackson Hole Medical Imaging PC | 625 E Broadway, Dept of Radiology, Jackson, WY 83001-8642 |
Thomas J Wilson | Diagnostic Radiology | Jackson Hole Medical Imaging PC | 625 E Broadway, Dept of Radiology, Jackson, WY 83001-8642 |
David K Bigelow | Diagnostic Radiology | Jackson Hole Medical Imaging PC | 625 E Broadway, Dept of Radiology, Jackson, WY 83001-8642 |
Gary W Heath | Diagnostic Radiology | Jackson Hole Medical Imaging PC | 625 E Broadway, Dept of Radiology, Jackson, WY 83001-8642 |
Street Address |
625 E BROADWAY |
City | JACKSON |
State | WY |
Zip | 83001 |
Name | Specialty | Organization | Address |
---|---|---|---|
Christopher Sean Haling | Diagnostic Radiology | Jackson Hole Medical Imaging PC | 625 E Broadway, Dept of Radiology, Jackson, WY 83001-8642 |
Robert Paul Jones | Diagnostic Radiology | Jackson Hole Medical Imaging PC | 625 E Broadway, Dept of Radiology, Jackson, WY 83001-8642 |
Thomas J Wilson | Diagnostic Radiology | Jackson Hole Medical Imaging PC | 625 E Broadway, Dept of Radiology, Jackson, WY 83001-8642 |
David K Bigelow | Diagnostic Radiology | Jackson Hole Medical Imaging PC | 625 E Broadway, Dept of Radiology, Jackson, WY 83001-8642 |
Gary W Heath | Diagnostic Radiology | Jackson Hole Medical Imaging PC | 625 E Broadway, Dept of Radiology, Jackson, WY 83001-8642 |
Name | Specialty | Organization | Address |
---|---|---|---|
Brent A Blue | Family Medicine | Brent Blue Md | 455 W Broadway, Jackson, WY 83001 |
John W Zendler | Chiropractic | 215 Scott Lane, Jackson, WY 83001 | |
Charles F Harris | Physician Assistant | Brent Blue Md | 455 W Broadway, Jackson, WY 83001 |
Steven A Nelson | Clinical Psychologist | Steven Nelson, Phd, Inc. | 140 E Broadway, Jackson, WY 83001-0516 |
Sheila S Davis | Certified Clinical Nurse Specialist (cns) | 830 Upper Cache Creek Dr, Jackson, WY 83001-1281 | |
Phillip G Poore | General Surgery | P George Poore Md PC | 555 E Broadway, Jackson, WY 83001-4777 |
Lauren D Hinkle | Certified Nurse Midwife (cnm) | Gros Ventre Ob/gyn, LLP | 555 E Broadway, Suite 108, Jackson, WY 83001-5550 |
Christina M Kitchen | Nurse Practitioner | Gros Ventre Ob/gyn, LLP | 555 E Broadway, Suite 108, Jackson, WY 83001-5550 |
Joanna L Sheets | Certified Nurse Midwife | Gros Ventre Ob/gyn, LLP | 555 E Broadway, Suite 108, Jackson, WY 83001-5550 |
Laura Mckee | Psychologist, Clinical | 610 W Broadway Ave, L02e, Jackson, WY 83001-8213 | |
Find all physicians in zip 83001 |
City | JACKSON |
Zip Code | 83001 |
Specialty | DIAGNOSTIC RADIOLOGY |
City + Specialty | JACKSON + DIAGNOSTIC RADIOLOGY |
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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.