Russell E. Perry, M.D., P.a.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

RUSSELL E. PERRY, M.D., P.A.

Practice address

406 Palmetto St Ste a
New Smyrna Beach, FL 32168-7323

Phone

(386) 423-1212

Fax

(386) 423-5730

NPI assigned

Oct 2, 2007

Organization subpart

No

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

Authorized official

Name

Roxann Perry

Title

Office Manager

Phone

(386) 423-1212

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264636800000",
    "number": "1144417387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 PALMETTO ST STE A",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321687323",
            "telephone_number": "386-423-1212",
            "fax_number": "386-423-5730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 PALMETTO ST STE A",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321687323",
            "telephone_number": "386-423-1212",
            "fax_number": "386-423-5730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSELL E. PERRY, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-02",
        "last_updated": "2010-01-28",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "ROXANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "386-423-1212"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "64384",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dianne Rosenberg, CRNA
• Caroline Ross
• Jacob Dudley Rouse, M.D.
• Robert H Routh, M.D.
• Brittany Rowe, ATC, LAT
• Tracy Ruth
• Amy Rutherford, PA-C
• Lorraine Ryan, MD
• Sherry Salatto
• Adismary Salinas Recio, DPM

• Internal Medicine Physician in New Smyrna Beach, FL
• Providers in New Smyrna Beach, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2010; 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.