Yaw D. Berko MD
Internal Medicine Physician in Green Bay, WI(View on Map)
Full Name
Yaw D Berko MD
NPI Number
1003952995
NPI Type
Individual Provider
Gender
Male
Enumeration Date
01/29/2007
Specialties
(Taxonomies)Licenses
State
Wisconsin
License Number
50019-020
Contact
Information
Purpose
Mailing
Location
Address
4388 GULL PRAIRIE DR APT 3B
1726 SHAWANO AVE
City
Kalamazoo
Green Bay
State
MI
WI
Postal Code
49048-3121
54303-3216
Country
US
US
Telephone Number
(269) 382-2516
(920) 496-4700
Identifiers
Identifier
50019-020
Identifier State
WI
Identifier Issuer
WISCONSIN STATE LICENSE
Health Information Exchange
Endpoint Type
DIRECT
FHIR
DIRECT
FHIR
Endpoint
yberko332573@direct-ehr-ssmhc.com
https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
yberko147388@direct.myadvocateaurora.org
https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/
Endpoint Description
Unknown
Unknown
Unknown
Unknown
Use
Direct
Unknown
Direct
Other
Content Type
Other
Other Description:yberko332573@direct-ehr-ssmhc.com
Unknown
Unknown
Other
Other Description:CCD
Affiliation
Y
N
N
Y
Endpoint Location
AGNESIAN HEALTHCARE INC430 E Division StFond Du Lac, WI549354560US
1726 Shawano AveGreen Bay, WI543033216US
1726 Shawano AveGreen Bay, WI543033216US
AGNESIAN HEALTHCARE INC430 E Division StFond Du Lac, WI549354560US
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 12/08/2021
Provider Address
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