Sara A Berg (NPI# 1417941006, PAC ID# 6305979816) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1417941006 |
| PAC ID by PECOS | 6305979816 |
| Professional Enrollment ID | I20100804001001 |
| Full Name | Sara A Berg |
| Address |
1623 5th St B Clarkston WA 99403-3001 |
| Phone Number | 5097580128 |
| Gender | F |
| Medical School | MEDICAL COLLEGE OF WISCONSIN |
| Graduation Year | 1987 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 130003 | ST JOSEPH REGIONAL MEDICAL CENTER |
| 501332 | TRI-STATE MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1623 5th St B, Clarkston, WA 99403-3001 | 5097580128 | |
| 415 6th St, Lewiston, ID 83501-2431 | 5097580128 |
| Street Address |
1623 5TH ST B |
| City | CLARKSTON |
| State | WA |
| Zip | 99403-3001 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nicholas G Phillips | Psychiatry | Tri-state Memorial Hospital | 302 5th St, Suite 3, Clarkston, WA 99403-1801 |
| Mark T Eggleston | Ophthalmology | Eye Care Specialists Ps | 500 Port Dr, Clarkston, WA 99403-1835 |
| Chad R Bouterse | Ophthalmology | Eye Care Specialists Ps | 500 Port Dr, Clarkston, WA 99403-1835 |
| Marcia G Holthaus | Clinical Social Worker | Quality Behavioral Health | 900 7th St, Clarkston, WA 99403-2005 |
| Allen M Ernster | Family Medicine | Quality Behavioral Health | 900 7th St, Clarkston, WA 99403-2005 |
| Ann M Ridinger | Clinical Social Worker | Quality Behavioral Health | 900 7th St, Clarkston, WA 99403-2005 |
| Kristine G Kemp | Clinical Social Worker | Quality Behavioral Health | 900 7th St, Clarkston, WA 99403-2005 |
| Teresa L Abel | Clinical Social Worker | Quality Behavioral Health | 900 7th St, Clarkston, WA 99403-2005 |
| Cheryl L Rudd | Physical Therapy | Twin Rivers Physical Therapy, LLC | 725 6th St, Suite 101, Clarkston, WA 99403-2006 |
| Edward C Harkins | Physical Therapy | Twin Rivers Physical Therapy, LLC | 725 6th St, Suite 101, Clarkston, WA 99403-2006 |
| Find all physicians in zip 99403 | |||
| City | CLARKSTON |
| Zip Code | 99403 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | CLARKSTON + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Sara A Berg.
| 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.