Peru Family Medicine, PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

190218 Issued in NY

Legal business name

PERU FAMILY MEDICINE, PLLC

Doing business as

Peru Family Healthcare

Practice address

9 Elm St
Peru, NY 12972-2812

Phone

(518) 643-7037

Fax

(518) 643-2125

NPI assigned

Apr 27, 2012

Last updated

Apr 27, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. David W Smith, M.D.NPI 1356313787

Title

Sole Member

Phone

(518) 643-7037

Specialties & licenses 1

Addresses

Other names 1

• Peru Family Healthcare Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David W Smith, M.D.

  • Family Medicine Physician
  • Peru, NY
  • NPI 1356313787
  Authorized official Same address or phone

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

{
    "created_epoch": "1335484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335484800000",
    "number": "1255699138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 599",
            "city": "PERU",
            "state": "NY",
            "postal_code": "129720599",
            "telephone_number": "518-643-7037",
            "fax_number": "518-643-2125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 ELM ST",
            "city": "PERU",
            "state": "NY",
            "postal_code": "129722812",
            "telephone_number": "518-643-7037",
            "fax_number": "518-643-2125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERU FAMILY MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-27",
        "last_updated": "2012-04-27",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "518-643-7037",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "190218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peru Family Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lorraine Ragudo Nazario-Torres, PT
• Geana M Nephew
• Nurtured Minds LCSW, PLLC
• Christina Lee Perry, RN
• Peru Central School District
• Peru Pharmacy Inc. (Peru Healthmart Pharmacy)
• Alison Rosenbaum, LMHC
• Michelle Marie Rushby, NURSE PRACTITIONER
• Brittany Patinka Saunders, RN
• Shady Grove Farm and Wellness Center

• Internal Medicine Physician in Peru, NY
• Providers in Peru, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2012; 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.