Meagan-Helen Henderson Berg, MDCM (MD)

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

35.147813 Issued in OH

Practice address

3025 Governor'S Place Blvd Dayton Skin Care,
Attn: Irina Lachugina
Dayton, OH 45409

Phone

(937) 293-5567

Fax

(937) 293-5568

NPI assigned

Jun 16, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1686873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1760167977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3025 GOVERNOR'S PLACE BLVD DAYTON SKIN CARE,",
            "address_2": "ATTN: IRINA LACHUGINA",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "45409",
            "telephone_number": "937-293-5567",
            "fax_number": "937-293-5568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3025 GOVERNOR'S PLACE BLVD DAYTON SKIN CARE,",
            "address_2": "ATTN: IRINA LACHUGINA",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "45409",
            "telephone_number": "937-293-5567",
            "fax_number": "937-293-5568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON BERG",
        "first_name": "MEAGAN-HELEN",
        "name_prefix": "Dr.",
        "credential": "MDCM (MD)",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-16",
        "last_updated": "2023-09-27",
        "certification_date": "2023-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "OH",
            "license": "35.147813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shade Hemingway
• Margaret Frances Hemmen, CRNA
• Anita Hemming, LPN
• Nicholas Allen Hemsley, DO
• Jessica Hendershot, PEER SUPPORT
• Aaron Henderson
• Brandy Davina Henderson, RN,FNP, PMHNP
• Brianna Henderson, LICDC
• Candice Anne Henderson
• Cheron M Henderson, LPN

• Dermatology Physician in Dayton, OH
• Providers in Dayton, OH by specialty
• Dermatology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.