Dewayde Perry, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

MD27847 Issued in OR

Practice address

1401 Market St # B
Springfield, OR 97477-3337

Phone

(541) 255-3205

Fax

(888) 864-3381

NPI assigned

Jul 18, 2006

Sex

Male

Sole proprietor

No

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 OR

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Daiya Healthcare PLLC

  • Internal Medicine Physician
  • Bellevue, WA
  • NPI 1477027381
  NPD
• Southwest Medical Care Corporation

  • General Acute Care Hospital
  • Middleburg Heights, OH
  • NPI 1740367762
  NPD (past)

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692662400000",
    "number": "1104844786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1769 PROVINCIAL WAY",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974016994",
            "telephone_number": "541-255-3205",
            "fax_number": "888-864-3381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 MARKET ST # B",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974773337",
            "telephone_number": "541-255-3205",
            "fax_number": "888-864-3381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "DEWAYDE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "OR",
            "license": "MD27847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janet Ann Perez, LCSW
• Kialing Perez, MD
• Performance Modalities Inc
• Perigon Medical Clinic LLC
• Daniel Paul Perkins
• Marilyn Jane Perry, M.A.
• Theresa Margaret Perry
• Tara Rani Perti, MD
• Peter T Raven DDS LLC
• Brice A. Peter, MD

• General Practice Physician in Springfield, OR
• Providers in Springfield, OR by specialty
• General Practice Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.