Active NPI
Charlene Rosetta Perry, PA-C
- Physician Assistant
- Belcamp, MD
National Provider Identifier
1275543795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- C0002988
- Practice address
- 219 Merlin Dr
Belcamp, MD 21017-1539 - Phone
- (410) 272-0530
- NPI assigned
- Aug 8, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | C0002988 | MD | Primary |
Addresses
Primary practice location
219 Merlin Dr
Belcamp, MD 21017-1539
Mailing address
219 Merlin Dr
Belcamp, MD 21017-1539
Phone (410) 272-0530
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C0002988 | MD | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1275543795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "219 MERLIN DR",
"city": "BELCAMP",
"state": "MD",
"postal_code": "210171539",
"telephone_number": "410-272-0530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "219 MERLIN DR",
"city": "BELCAMP",
"state": "MD",
"postal_code": "210171539",
"telephone_number": "410-272-0530"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRY",
"first_name": "CHARLENE",
"middle_name": "ROSETTA",
"name_prefix": "Ms.",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MD",
"license": "C0002988",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Belcamp, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.