Lisa A Bergeron
M.D. | Pediatrics | Female
Lisa A Bergeron, M.D. is a Fort Wayne, Indiana based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Lisa A Bergeron is
11115 Parkview Plaza Dr, Fort Wayne, Indiana - 46845-1701. She can be contacted on phone at
260-266-5400 and fax number 260-266-5405.
Lisa A Bergeron is a sole proprietor of her business.
NPI number (Unique professional ID) for Lisa A Bergeron is
1801890355 which was assigned by NPPES on 10 Jun, 2005 and it was last updated on 20 Dec, 2022.
Lisa A Bergeron license number is
01043876A for Pediatrics (208000000X) in Indiana.
Lisa A Bergeron is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Lisa A Bergeron basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Lisa A Bergeron |
|---|
| Credential : | M.D. |
|---|
| Gender : | Female |
|---|
Business Address:
Lisa A Bergeron address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 11115 Parkview Plaza Dr
Fort Wayne, IN, 46845-1701
United States |
|---|
| Phone Number : | 260-266-5400 |
|---|
| Fax Number : | 260-266-5405 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1801890355 |
|---|
| NPI Entity Type : | Individual |
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| First Enrolment Date : | 10 Jun, 2005 |
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| Last Updated On : | 20 Dec, 2022 |
|---|
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lisa A Bergeron are as mentioned. Primary taxonomy code for Lisa A Bergeron, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 35065206 | OH |
| 208000000X | Pediatrics | Yes | 01043876A | IN |
Legacy Identifiers:
Other legacy medical identifiers of Lisa A Bergeron such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 000000602350 | Other (non-Medicare) | IN | Anthem |
| 069860UUUU | MEDICARE PIN | IN | |
| 200037410 | MEDICAID | IN | |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
DIRECT
(Direct Messaging Address) | lbergeron4160@Direct.Parkviewexchange.com
| No affiliation |
|
| 11115 Parkview Plaza Dr,
Fort Wayne, IN, 46845-1701
United States |
FHIR
(FHIR URL) | https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/
| No affiliation |
|
| 11115 Parkview Plaza Dr,
Fort Wayne, IN, 46845-1701
United States |
FHIR
(FHIR URL) | https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/
| No affiliation |
|
| 11115 Parkview Plaza Dr,
Fort Wayne, IN, 46845-1701
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 11109 Parkview Plaza Dr # 117
Fort Wayne, IN, 46845-1701
United States |
|---|
Business Location:
Patients can refer following map for directions to
Lisa A Bergeron practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.