Michelle L Persun, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

MD073596L Issued in PA

Practice address

1 Presidential Blvd
Suite 100
Bala Cynwyd, PA 19004-1017

Phone

(610) 667-3020

Fax

(610) 667-1817

NPI assigned

Sep 20, 2006

Sex

Female

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Telehealth Clinical Evals LLC

  • Clinic/Center
  • Las Vegas, NV
  • NPI 1346868387
  NPD

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293926400000",
    "number": "1144327255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PRESIDENTIAL BLVD",
            "address_2": "SUITE 100",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041017",
            "telephone_number": "610-667-3020",
            "fax_number": "610-667-1817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PRESIDENTIAL BLVD",
            "address_2": "SUITE 100",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041017",
            "telephone_number": "610-667-3020",
            "fax_number": "610-667-1817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERSUN",
        "first_name": "MICHELLE",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2011-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "PA",
            "license": "MD073596L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frederick S. Perez, DDS
• Personal Touch Home Aides of PA, Inc.
• Personal Touch Home Aides of PA, Inc.
• Personal Touch Home Aides of PA, Inc.
• Personal Touch Home Care of PA, Inc.
• Caitlin Pertmer, AUD
• Steven S Pesis, DDS
• Kelly A Peszko
• Natalie Petyk, PSY.D.
• Vivian Pham, RPH

• Urology Physician in Bala Cynwyd, PA
• Providers in Bala Cynwyd, PA by specialty
• Urology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2011; 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.