Kenneth C Berg (NPI# 1578981213, PAC ID# 9234438516) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1578981213 |
| PAC ID by PECOS | 9234438516 |
| Professional Enrollment ID | I20190716000019 |
| Full Name | Kenneth C Berg |
| Organization Legal Name | BLOUNT ORTHOPAEDIC ASSOCIATES SC |
| Address |
W62n208 Washington Ave Cedarburg WI 53012-2763 |
| Phone Number | 2623767480 |
| Gender | M |
| Medical School | MEDICAL COLLEGE OF WISCONSIN |
| Graduation Year | 2014 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 5395708127 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520194 | ORTHOPAEDIC HOSPITAL OF WI |
| 520051 | COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE |
| 520027 | COLUMBIA ST MARYS HOSPITAL OZAUKEE |
| Address | Phone | Organization |
|---|---|---|
| W62n208 Washington Ave, Cedarburg, WI 53012-2763 | 2623767480 | BLOUNT ORTHOPAEDIC ASSOCIATES SC |
| 525 W River Woods Pkwy, Suite 100, Glendale, WI 53212-1061 | 4143326262 | BLOUNT ORTHOPAEDIC ASSOCIATES SC |
| Organization Legal Name | BLOUNT ORTHOPAEDIC ASSOCIATES SC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph Kroner | Orthopedic Surgery | Blount Orthopaedic Associates Sc | W62n208 Washington Ave, Cedarburg, WI 53012-2763 |
| Dean W Ziegler | Orthopedic Surgery | Blount Orthopaedic Associates Sc | 525 W River Woods Pkwy, Suite 100, Glendale, WI 53212-1061 |
| Rory R Wright | Orthopedic Surgery | Blount Orthopaedic Associates Sc | W62n208 Washington Ave, Cedarburg, WI 53012-2763 |
| John T Kroner | Orthopedic Surgery | Blount Orthopaedic Associates Sc | W62n208 Washington Ave, Cedarburg, WI 53012-2763 |
| Zoe R Ziegler | Physician Assistant | Blount Orthopaedic Associates Sc | 525 W River Woods Pkwy, Suite 100, Glendale, WI 53212-1061 |
| Todd M Swenson | Orthopedic Surgery | Blount Orthopaedic Associates Sc | W62n208 Washington Ave, Cedarburg, WI 53012-2763 |
| Alexander M Riordan | Orthopedic Surgery | Blount Orthopaedic Associates Sc | W62n208 Washington Ave, Cedarburg, WI 53012-2763 |
| Street Address |
W62N208 WASHINGTON AVE |
| City | CEDARBURG |
| State | WI |
| Zip | 53012-2763 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph Kroner | Orthopedic Surgery | Blount Orthopaedic Associates Sc | W62n208 Washington Ave, Cedarburg, WI 53012-2763 |
| Rory R Wright | Orthopedic Surgery | Blount Orthopaedic Associates Sc | W62n208 Washington Ave, Cedarburg, WI 53012-2763 |
| John T Kroner | Orthopedic Surgery | Blount Orthopaedic Associates Sc | W62n208 Washington Ave, Cedarburg, WI 53012-2763 |
| Todd M Swenson | Orthopedic Surgery | Blount Orthopaedic Associates Sc | W62n208 Washington Ave, Cedarburg, WI 53012-2763 |
| Alexander M Riordan | Orthopedic Surgery | Blount Orthopaedic Associates Sc | W62n208 Washington Ave, Cedarburg, WI 53012-2763 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert C Manz | Orthopedic Surgery | M Ortho Sc | W62n179 Washington Ave, Cedarburg, WI 53012 |
| Erik R Bjork | Optometry | Perspective Vision Care LLC | W76n677 Wauwatosa Rd, Cedarburg, WI 53012-1707 |
| Courtney E Prasch | Physician Assistant | Geiger Medical LLC | W63n545 Hanover Ave, Cedarburg, WI 53012-1917 |
| Susan L Orvis | Optometry | W63 N543 B Hanover Ave, Cedarburg, WI 53012-1917 | |
| Rachel J Roesler | Nurse Practitioner | Geiger Medical LLC | W63n545 Hanover Ave, Cedarburg, WI 53012-1917 |
| Tracy Merle Geiger | Family Medicine | Geiger Medical LLC | W63n545 Hanover Ave, Cedarburg, WI 53012-1917 |
| Mary D Washburne | Family Medicine | Geiger Medical LLC | W63n545 Hanover Ave, Cedarburg, WI 53012-1917 |
| Deanne Evelyn Dunder | Nurse Practitioner | Geiger Medical LLC | W63n545 Hanover Ave, Cedarburg, WI 53012-1917 |
| Jason E Geiger | Emergency Medicine | Geiger Medical LLC | W63n545 Hanover Ave, Cedarburg, WI 53012-1917 |
| Marsha C Hansen | Nurse Practitioner | Geiger Medical LLC | W63n545 Hanover Ave, Cedarburg, WI 53012-1917 |
| Find all physicians in zip 53012 | |||
| City | CEDARBURG |
| Zip Code | 53012 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | CEDARBURG + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Kenneth C 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.