Dr. Adam C. Berger
Surgery

Address: 1100 Walnut St, Mob, 5th Floor, Philadelphia, PA 19107-5563
Phone: 2159556750

Dr. Adam C. Berger (NPI# 1073533394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1073533394
Entity Type Individual
Full Name Dr. Adam C. Berger
Credential M.D.
Gender Male
Practice Address 1100 Walnut St
Mob, 5th Floor
Philadelphia
PA 19107-5563
Practice Telephone 2159556750
Practice Fax Number 2159238222
Mailing Address 615 Chestnut St
14th Floor, Central Enrollment
Philadelphia
PA 19106-4404
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2006-07-20
Last Update Date 2011-05-26

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 208600000X Surgery Allopathic & Osteopathic Physicians MD418549 PA

Other Provider Identifier

State Identifier Issuer Type Code
PA 001905136 MEDICAID
NJ 8892300 MEDICAID

Providers with the same name

NPI Name Taxonomy Address Enumeration
1972574408 Adam Scott Berger Ophthalmology 250 Avenue K Sw, Suite 200, Winter Haven, FL 33880-3919 2006-02-01

Physician Overview

NPI 1073533394
PAC ID by PECOS 9032184627
Professional Enrollment ID I20040827000460
Full Name Adam Craig Berger
Organization Legal Name JEFFERSON UNIVERSITY PHYSICIANS
Phone Number 2159556750
Gender M
Credential MD
Medical School NEW YORK UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 1995
Primary Specialty GENERAL SURGERY
Group Practice PAC ID 7911819180
Number of Group Practice Members 966
Accepts Medicare Assignment Y
Report Quality Measures Y
Use Electronic Health Records Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
390174 THOMAS JEFFERSON UNIVERSITY HOSPITAL
310064 ATLANTICARE REGIONAL MEDICAL CENTER

Taxonomy Information

Taxonomy Code 208600000X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery

Taxonomy Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1891257101 James Paul Byrne Surgery Penn Presbyterian Medical Center, Division of Trauma, S, 51 N. 39th Street, Suite 120, 1st Floor Medical Office, Philadelphia, PA 19104 2019-04-04
1962993170 Brian M Till Surgery 1015 Walnut Street, Suite 620 Curtis, Philadelphia, PA 19107-5005 2018-05-23
1790213114 Matthew Paul Mullarkey Surgery 3401 N Broad St Ste C405, Philadelphia, PA 19140-5103 2017-05-30
1578941282 Amanda Elizabeth Deliere Surgery 3400 N Broad St, Philadelphia, PA 19140-5104 2015-05-13
1649660804 Deviney Rattigan Surgery 1110 Lombard St Apt 24, Philadelphia, PA 19147-1206 2015-01-27
1154730109 Veronica M. Zoghbi Surgery 3400 Spruce St Fl 4, General Surgery Department, Philadelphia, PA 19104-4229 2014-08-04
1851704514 William Robert Johnson Surgery 2040 Market St, Unit 307, Philadelphia, PA 19103-3302 2014-06-10
1619300571 Roshin Thomas Surgery 8815 Germantown Ave Fl 2, Philadelphia, PA 19118-2722 2013-08-14
1144667262 Krystal Maloni Surgery 700 Spruce St Ste 101, Philadelphia, PA 19106 2013-05-30
1477800134 Matthew Hagan Surgery 3500 N Broad St, Philadelphia, PA 19140-4106 2012-08-12
Find all providers in PHILADELPHIA

Office Location

Street Address 1100 WALNUT ST
MOB, 5TH FLOOR
City PHILADELPHIA
State PA
Zip Code 19107-5563

Providers in the same location

NPI Name Taxonomy Address Enumeration
1760968150 Jessica Christina Russo Genetic Counselor, MS 1100 Walnut St, Philadelphia, PA 19107-5563 2018-07-18
1326481565 Jonathan Pan Student in an Organized Health Care Education/Training Program 1100 Walnut St, 3rd Floor, Philadelphia, PA 19107-5563 2013-04-08
1891030961 Lori Pellegrino Nurse Practitioner 1100 Walnut St, Suite 500, Philadelphia, PA 19107-5563 2012-11-30
1013281633 Catherine Gill-preston Nurse Practitioner 1100 Walnut St, Mob 7th Floor, Philadelphia, PA 19107-5563 2012-02-29
1316225857 Shawnna Cannaday Nurse Practitioner 1100 Walnut St, Suite 500, Philadelphia, PA 19107-5563 2011-08-02
1003104274 Anirudh Kohli Student in an Organized Health Care Education/Training Program 1100 Walnut St, Suite 500, Philadelphia, PA 19107-5563 2011-07-21
1730486366 Michael Pucci Surgery 1100 Walnut St, Suite 500, Philadelphia, PA 19107-5563 2011-02-17
1801102223 Matthew William Laporta Surgery 1100 Walnut St, Suite 500, Philadelphia, PA 19107-5563 2010-08-23
1437393634 Anne L. Rosenberg, M.d. Specialist 1100 Walnut St, Suite 303, Philadelphia, PA 19107-5563 2009-05-01
1720226210 Gurjyot Bajwa Thoracic Surgery (Cardiothoracic Vascular Surgery) 1100 Walnut St, Suite 500, Philadelphia, PA 19107-5563 2009-01-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1326608779 Pascal Lavergne Neurological Surgery 111 11th St, Thomas Jefferson University, Philadelphia, PA 19107 2019-06-18
1730747072 James Michael Cirone Emergency Medicine 111 S 11th St, Philadelphia, PA 19107 2019-06-02
1639632185 Taylor D'amore Student in an Organized Health Care Education/Training Program 925 Chest Street 5th Floor, Philadelphia, PA 19107 2019-04-11
1043779630 Heather Lynn Yenser Nurse Practitioner 111 S. 11th St., Jefferson Vascular Center (6th Floor), Philadelphia, PA 19107 2019-03-14
1174093702 Jennifer Lynn Kengeter Psychologist 900 Walnut Street, Suite 200, Philadelphia, PA 19107 2018-11-27
1922588623 Hyung Bin Lee Dentist 315 N 12th St, Apt 803, Philadelphia, PA 19107 2018-08-21
1750860490 Anastasiya Khlypnych Physician Assistant 111 S. 11th Street, Suite 2170, Gibbon Bldg Suite 6210, Philadelphia, PA 19107 2018-08-13
1336630805 Yanina Glenda Nikolaus Student in an Organized Health Care Education/Training Program 117 South 11th Street, 204 Pavillion, Philadelphia, PA 19107 2018-05-21
1023515384 Lisa Michelle Friedland Student in an Organized Health Care Education/Training Program 1020 Sansom St, Suite 1651b, Philadelphia, PA 19107 2018-04-11
1851895635 Sara Nicoles Nurse Anesthetist, Certified Registered 111 South 11th Street Suite 8490, Philadelphia, PA 19107 2018-03-19
Find all providers in zip 19107

Competitor

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City PHILADELPHIA
Zip Code 19107

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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