Individual provider Active NPI

John Arthur Perez, P.A.

  • Medical Physician Assistant
  • Camp Wood, TX
National Provider Identifier
1184685109
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA03930 Issued in TX
Practice address
700 S Frio
Camp Wood, TX 78833
Phone
(830) 278-5604
Fax
(830) 278-1836
NPI assigned
Mar 29, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA03930 TX Primary

Addresses

Primary practice location

700 S Frio
Camp Wood, TX 78833

Mailing address

201 Evans St
Uvalde, TX 78801-5141
Phone (830) 278-5604

Other identifiers 1

IdentifierTypeStateIssuer
PA03930OtherTXPHYSICIAN ASSISTANT PERMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060505000494 TX Practitioner - Physician Assistant 4385655331 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

200 Evans St
Uvalde, TX 78801-5142
Phone (830) 278-5604

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA03930TXMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Development, Inc. CurrentSince Sep 21, 2017 Accepting new patients
Community Health Development, Inc. CurrentSince Sep 21, 2017 Accepting new patients

Locations

200 Evans St
Uvalde, TX 78801
Phone (830) 278-7105

908 Evans St
Uvalde, TX 78801
Phone (830) 278-3765

Interoperability endpoints

  • Direct secure messaging: john.perez.p2@direct.chdi.nextgenshare.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184685109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 EVANS ST",
            "city": "UVALDE",
            "state": "TX",
            "postal_code": "788015141",
            "telephone_number": "830-278-5604",
            "fax_number": "830-278-1836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 S FRIO",
            "city": "CAMP WOOD",
            "state": "TX",
            "postal_code": "78833",
            "telephone_number": "830-278-5604",
            "fax_number": "830-278-1836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "JOHN",
        "middle_name": "ARTHUR",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA03930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN ASSISTANT PERMI",
            "identifier": "PA03930",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Camp Wood, TX

Sources for this page

Verify at the official NPI Registry.