NPIMap

Organization Active NPI

Aixsa Perez M D P C

  • Family Medicine Physician
  • Osceola, IN
National Provider Identifier
1134414329
Registry record updated Jun 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01049434A Issued in IN
Legal business name
AIXSA PEREZ M D P C
Practice address
1712 Lincolnway W
Suite a
Osceola, IN 46561-1933
Phone
(574) 675-9630
NPI assigned
Jun 15, 2011
Last updated
Jun 15, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2011

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

Authorized official

Name
Aixsa Perez, M D
Title
Owner
Phone
(574) 675-9630

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01049434A IN Primary

Addresses

Primary practice location

1712 Lincolnway W
Suite a
Osceola, IN 46561-1933

Mailing address

1712 Lincolnway W
Suite a
Osceola, IN 46561-1933
Phone (574) 675-9630

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1308096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308096000000",
    "number": "1134414329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1712 LINCOLNWAY W",
            "address_2": "SUITE A",
            "city": "OSCEOLA",
            "state": "IN",
            "postal_code": "465611933",
            "telephone_number": "574-675-9630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1712 LINCOLNWAY W",
            "address_2": "SUITE A",
            "city": "OSCEOLA",
            "state": "IN",
            "postal_code": "465611933",
            "telephone_number": "574-675-9630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AIXSA PEREZ M D P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-15",
        "last_updated": "2011-06-15",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "AIXSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "574-675-9630",
        "authorized_official_credential": "M D"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01049434A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Osceola, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2011; 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.