# MICAH BERRY M D INC A PROFESSIONAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sierra Nevada Orthopedic Institute
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184214223
- **Authorized official:** DR. MICAH BERRY MD (OWNER/PROVIDER)
- **Authorized official phone:** (530) 777-0011

## Contact information

- **Practice address:** 280 SIERRA COLLEGE DR STE 210, GRASS VALLEY, CA 95945-5769
- **Practice address phone:** (530) 777-0011
- **Mailing address:** 300 SIERRA COLLEGE DR STE 250, GRASS VALLEY, CA 95945-5083
- **Mailing address phone:** (530) 777-0011

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/22/2021
- **Last updated:** 02/13/2023