NPIMap

Individual provider Active NPI

Gina M Perry, D.O.

  • Family Medicine Physician
  • York, PA
National Provider Identifier
1184696734
Registry record updated May 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS010092L Issued in PA
Practice address
2295 N Susquehanna TRL
Suite a
York, PA 17404-8495
Phone
(717) 812-0731
Fax
(717) 812-9848
NPI assigned
Feb 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS010092L PA Primary

Addresses

Primary practice location

2295 N Susquehanna TRL
Suite a
York, PA 17404-8495

Mailing address

2295 N Susquehanna TRL
Suite a
York, PA 17404-8495
Phone (717) 812-0731

Other identifiers 2

IdentifierTypeStateIssuer
039846OtherPAGROUP PTAN
01807995MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Enterprises, Inc. Family Medicine Past Accepting new patients
York Clinic Company LLC Family Medicine PastSince Jul 1, 2012 Accepting new patients
Pinnacle Health Medical Services Family Medicine Past Accepting new patients
Memorial Enterprises, Inc. Past Accepting new patients
Memorial Enterprises, Inc. Past Accepting new patients
Memorial Enterprises Inc Family Medicine Past Accepting new patients

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306368000000",
    "number": "1184696734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2295 N SUSQUEHANNA TRL",
            "address_2": "SUITE A",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174048495",
            "telephone_number": "717-812-0731",
            "fax_number": "717-812-9848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2295 N SUSQUEHANNA TRL",
            "address_2": "SUITE A",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174048495",
            "telephone_number": "717-812-0731",
            "fax_number": "717-812-9848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "GINA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-07",
        "last_updated": "2011-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS010092L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "039846",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01807995",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in York, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.