Melissa Sue Berger (NPI# 1124086897, PAC ID# 9739110487) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1124086897 |
| PAC ID by PECOS | 9739110487 |
| Professional Enrollment ID | I20050823000625 |
| Full Name | Melissa Sue Berger |
| Organization Legal Name | RENAISSANCE RECONSTRUCTIVE AND AESTHETIC SURGERY INC |
| Address |
2300 W Elm St Lima OH 45805-2541 |
| Phone Number | 4192288500 |
| Gender | F |
| Credential | PA |
| Graduation Year | 2005 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 9133364292 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360066 | ST RITA'S MEDICAL CENTER |
| 360009 | LIMA MEMORIAL HEALTH SYSTEM |
| 360032 | GRAND LAKE HEALTH SYSTEM |
| Address | Phone | Organization |
|---|---|---|
| 2300 W Elm St, Lima, OH 45805-2541 | 4192288500 | RENAISSANCE RECONSTRUCTIVE AND AESTHETIC SURGERY INC |
| Organization Legal Name | RENAISSANCE RECONSTRUCTIVE AND AESTHETIC SURGERY INC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew Martin Akers | Plastic and Reconstructive Surgery | Renaissance Reconstructive and Aesthetic Surgery Inc | 750 W High St, Suite 300, Lima, OH 45801-2967 |
| Street Address |
2300 W ELM ST |
| City | LIMA |
| State | OH |
| Zip | 45805-2541 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Darryl M Haycock | Podiatry | 2311 Baton Rouge, Lima, OH 45805-1129 | |
| Mary Shenouda | Ophthalmology | Advanced Vision Care, Inc | 2300 Baton Rouge, Lima, OH 45805-1130 |
| Michael T Craig | Ophthalmology | Advanced Vision Care, Inc | 2300 Baton Rouge, Lima, OH 45805-1130 |
| Michael Griffith | Psychologist, Clinical | 3000 Elida Rd, Suite 2, Lima, OH 45805-1232 | |
| Michael Fishbaugh Jr. | Optometry | Michael A. Fishbaugh Jr. O.d. Inc. | 1301 N Cable Rd, Lima, OH 45805-1407 |
| Amy L Bankey | Optometry | Michael A. Fishbaugh Jr. O.d. Inc. | 1301 N Cable Rd, Lima, OH 45805-1407 |
| Ashley Nicole Schoenherr | Optometry | Michael A. Fishbaugh Jr. O.d. Inc. | 1301 N Cable Rd, Lima, OH 45805-1407 |
| John Gillis | Chiropractic | 1905 Latham Ave, Lima, OH 45805-1637 | |
| Matthew P Ziccardi | Clinical Psychologist | 1045 Mackenzie Dr, Lima, OH 45805-1660 | |
| Omar A Sweidan | Optometry | 2155 Allentown Rd, Lima, OH 45805-1705 | |
| Find all physicians in zip 45805 | |||
| City | LIMA |
| Zip Code | 45805 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | LIMA + PHYSICIAN ASSISTANT |
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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.