Perry Wynn Doan Jr., DO

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

OS016146 Issued in PA

Practice address

32-36 Central Ave
SSMH - Emergency Department
Wellsboro, PA 16901-1840

Phone

(570) 723-0140

NPI assigned

Apr 2, 2009

Last updated

Jun 29, 2012By the provider in NPPES

Sex

Male

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

Enrolled in PA

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.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

83.69 of 100Reported as group

Quality

75.14

Promoting interoperability

100

Improvement activities

40

Cost

70.49

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: perry.doan@upmcdirect.com
• Direct secure messaging: pdoan77450@upmc.direct-ci.com

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

• Charles Cole Memorial Hospital

  dba UPMC Cole

  • Critical Access Hospital
  • Coudersport, PA
  • NPI 1326161662
  Medicare reassignment NPD
• Emergency Care Services of Pennsylvania, P.C.

  • Emergency Medicine Physician
  • Langhorne, PA
  • NPI 1114955010
  Medicare reassignment NPD
• Charles Cole Memorial D/B/a Upmc Cole

  • Ambulatory Surgical Clinic/Center
  • Coudersport, PA
  • NPI 1619008554
  NPD
• Emergency Care Services of Pennsylvania, P.C.

  • Emergency Medicine Physician
  • Wilkes Barre, PA
  • NPI 1235374927
  NPD
• Bestpractices of Pennsylvania PC

  • Emergency Medicine Physician
  • Williamsport, PA
  • NPI 1891724662
  NPD (past)

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

{
    "created_epoch": "1238630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340928000000",
    "number": "1073755252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32-36 CENTRAL AVE",
            "address_2": "SSMH - EMERGENCY DEPARTMENT",
            "city": "WELLSBORO",
            "state": "PA",
            "postal_code": "169011840",
            "telephone_number": "570-723-0140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32-36 CENTRAL AVE",
            "address_2": "SSMH - EMERGENCY DEPARTMENT",
            "city": "WELLSBORO",
            "state": "PA",
            "postal_code": "169011840",
            "telephone_number": "570-723-0140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOAN",
        "first_name": "PERRY",
        "middle_name": "WYNN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-02",
        "last_updated": "2012-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "OS016146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mitchell Dent, DNP, CRNA
• Trudi M Dibble, PT ASSISTANT
• Autumn Elizabeth Dietrich
• Doan Med LLC (Tioga Wellness & Vitality)
• Nicole Elizabeth Doan
• Christopher Anthony Domarew, M.D.,PHARMD, RPH
• Donald D Golobek DO
• Terry Drake, LSW
• John W Eaton, DDS
• John E Ecker, CRNA

• Emergency Medicine Physician in Wellsboro, PA
• Providers in Wellsboro, PA by specialty
• Emergency Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2012; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.