Egerton K Van Den Berg Jr. (NPI# 1821192501, PAC ID# 8022156637) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1821192501 |
| PAC ID by PECOS | 8022156637 |
| Professional Enrollment ID | I20091217000462 |
| Full Name | Egerton K Van Den Berg Jr. |
| Organization Legal Name | CARDIOLOGY CONSULTANTS |
| Address |
3102 Kurt St Eustis FL 32726-6529 |
| Phone Number | 3523570055 |
| Gender | M |
| Medical School | DUKE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1981 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Group Practice PAC ID | 1052459666 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100007 | FLORIDA HOSPITAL |
| 100057 | FLORIDA HOSPITAL WATERMAN |
| 100109 | FLORIDA HOSPITAL HEARTLAND MEDICAL CENTER |
| 100006 | ORLANDO HEALTH |
| 100051 | SOUTH LAKE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3102 Kurt St, Eustis, FL 32726-6529 | 3523570055 | CARDIOLOGY CONSULTANTS |
| 1414 Kuhl Ave, Orlando, FL 32806-2008 | 4078415111 | ORLANDO HEALTH PHYSICIAN GROUP INC |
| 2320 N Orange Ave, Orlando, FL 32804-5506 | 4078960054 | CARDIOLOGY CONSULTANTS |
| Organization Legal Name | CARDIOLOGY CONSULTANTS |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert L Rothbard | Cardiovascular Disease (cardiology) | Cardiology Consultants | 3102 Kurt St, Eustis, FL 32726-6529 |
| Peter James Norton | Interventional Cardiology | Cardiology Consultants | 2320 N Orange Ave, Orlando, FL 32804-5506 |
| Hall B Whitworth | Cardiovascular Disease (cardiology) | Cardiology Consultants | 2320 N Orange Ave, Orlando, FL 32804-5506 |
| Robert B Boswell | Cardiovascular Disease (cardiology) | Cardiology Consultants | 3102 Kurt St, Eustis, FL 32726-6529 |
| Street Address |
3102 KURT ST |
| City | EUSTIS |
| State | FL |
| Zip | 32726-6529 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert L Rothbard | Cardiovascular Disease (cardiology) | Cardiology Consultants | 3102 Kurt St, Eustis, FL 32726-6529 |
| Robert B Boswell | Cardiovascular Disease (cardiology) | Cardiology Consultants | 3102 Kurt St, Eustis, FL 32726-6529 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John W Cooke | Internal Medicine | 633 N Bay St, Eustis, FL 32726-2937 | |
| Keith R Hester | Physician Assistant | Family Care On Eustis Square Pa | 1 W Park Ave, Eustis, FL 32726-2947 |
| Lewis J Herzbrun | Physical Medicine and Rehabilitation | 30 W Wilt Ave, Eustis, FL 32726-2949 | |
| Charlotte A Wigle | Nurse Practitioner | Aimee Gilmet Arnp-c P.a. | 720 N Bay St, Suite 11, Eustis, FL 32726-2964 |
| Aimee Gilmet | Nurse Practitioner | Aimee Gilmet Arnp-c P.a. | 720 N Bay St, Suite 11, Eustis, FL 32726-2964 |
| Sabaretnam Yogendra | Pulmonary Disease | 720 N Bay St, Eustis, FL 32726-2964 | |
| Danielle Mathis | Nurse Practitioner | Aimee Gilmet Arnp-c P.a. | 720 N Bay St, Suite 11, Eustis, FL 32726-2964 |
| Donald J Tindall Jr. | General Practice | 720 N Bay St, Suite 12, Eustis, FL 32726-2964 | |
| Jeremy E Creech | Nurse Practitioner | North Lake Primary Care, P.a. | 6 N Eustis St, Eustis, FL 32726-3408 |
| Sujatha Baskar | Internal Medicine | 33 N Ctr St, Suite A, Eustis, FL 32726-3580 | |
| Find all physicians in zip 32726 | |||
| City | EUSTIS |
| Zip Code | 32726 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | EUSTIS + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
Please comment or provide details below to improve the information on Egerton K Van Den Berg Jr..
| 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.