Tamy E Perng, D.O.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

02004094A Issued in IN

Practice address

330 N Wabash
Suite 370
Marion, IN 46952-2678

Phone

(765) 660-7500

Fax

(765) 662-4724

NPI assigned

May 15, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: tamy.perng@mgh.eclinicaldirectplus.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Tamy E. Perng, D.O., Inc.

  • Surgery Physician
  • Norton, VA
  • NPI 1568796860
  NPD (past) Authorized official

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568592000000",
    "number": "1063628956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 HOSPITAL DR",
            "address_2": "STE 2000",
            "city": "WATERTOWN",
            "state": "WI",
            "postal_code": "530983320",
            "telephone_number": "765-660-7616",
            "fax_number": "765-651-7313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 N WABASH",
            "address_2": "SUITE 370",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469522678",
            "telephone_number": "765-660-7500",
            "fax_number": "765-662-4724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERNG",
        "first_name": "TAMY",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2019-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "VA",
            "license": "0102202410",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "ME",
            "license": "DO2928",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IN",
            "license": "02004094A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1063628956",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000784523",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201115230",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Craig Peel, FNP-C
• Danielle N Pelz, MS, BCBA
• Richard Pennington, CRNA
• Eduardo V Pereira, LCSW
• Eudon Omar Perkins, PMHNP
• Kellee Eugene Perry, FNP
• Personal Care Concepts, Inc
• Logan Peters, RBT
• Mary Louise Peters, FNP
• Sarah Allen Pettice, LCSW

• Surgery Physician in Marion, IN
• Providers in Marion, IN by specialty
• Surgery Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2019; 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.