Marilyn Berko

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD00032155 Issued in WA

Practice address

510 W 1St Ave
Toppenish, WA 98948-1564

Phone

(509) 865-5600

Fax

(509) 865-5783

NPI assigned

Jul 7, 2006

Last updated

Dec 6, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Marilyn Ahearn Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Previously, effective Sep 13, 2022 through Sep 13, 2026

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: mberko@yourcarecommunity.org
• Direct secure messaging: mberko107229@oc.providencedirect.org

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575590400000",
    "number": "1164454526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2720 85TH AVE SW",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985127511",
            "telephone_number": "360-250-9135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 W 1ST AVE",
            "city": "TOPPENISH",
            "state": "WA",
            "postal_code": "989481564",
            "telephone_number": "509-865-5600",
            "fax_number": "509-865-5783"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "247 Professional Way",
            "address_purpose": "LOCATION",
            "city": "Shelton",
            "state": "WA",
            "postal_code": "985844404",
            "country_code": "US",
            "telephone_number": "253-403-1444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "610 NW 11th St",
            "address_purpose": "LOCATION",
            "city": "Hermiston",
            "state": "OR",
            "postal_code": "978386601",
            "country_code": "US",
            "telephone_number": "541-667-3400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERKO",
        "first_name": "MARILYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2019-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OR",
            "license": "MD175787",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WA",
            "license": "MD00032155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARILYN",
            "last_name": "AHEARN",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kerri L Barrientos, D.H.
• Cathrine Bauchman, PHARM D.
• Melanie Belcourt, RN
• Robert Wade Benge, CDP
• Rosecelie Domingsil Benigno, RN
• Don E Berreth, D.C.
• Jessica Amber Bjur, RN
• Nicholle Lynn Blevins, RDA
• Curtis Borden, DDS
• Angela Lee Bosma, PA

• Pediatrics Physician in Toppenish, WA
• Providers in Toppenish, WA by specialty
• Pediatrics Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.