Andres Perez, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

4301406662 Issued in MI

Practice address

289 Ireland Ave
Ireland Army Community Hospital Emergency Deparment
Fort Knox, KY 40121-5111

Phone

(313) 550-2056

NPI assigned

Jan 21, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1453334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453334400000",
    "number": "1164889176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 682785",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370682785",
            "telephone_number": "313-550-2056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "289 IRELAND AVE",
            "address_2": "IRELAND ARMY COMMUNITY HOSPITAL EMERGENCY DEPARMENT",
            "city": "FORT KNOX",
            "state": "KY",
            "postal_code": "401215111",
            "telephone_number": "313-550-2056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "ANDRES",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-01-21",
        "last_updated": "2016-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AZ",
            "license": "41947",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "4301406662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel S Park, PA-C
• Wendy L Parry
• John J. Parsley, PSYD
• Gina Michelle Pawley-Whitley, LCSW
• Cynthia Lorraine Pearson, NURSE PRACTITIONER
• Kelly Marie Pesis, PA
• Robert M Peters Jr., PA-C
• Emmanuel Asamoah Prah, MPAS, PA-C
• Tami M Prince, M.D.
• John W Rauch, D.D.S.02

• Emergency Medicine Physician in Fort Knox, KY
• Providers in Fort Knox, KY by specialty
• Emergency Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2016; 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.