Malcolm O Perry III MD PA

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

J1476 Issued in TX

Legal business name

MALCOLM O PERRY III MD PA

Practice address

1111 Raintree Cir
Suite 240
Allen, TX 75013-4901

Phone

(469) 854-6116

NPI assigned

Jan 30, 2009

Organization subpart

No

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

Authorized official

Name

Malcolm O Perry III, MDNPI 1922111541

Title

President

Phone

(469) 854-6116

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Malcolm O Perry III, M.D.

  • Urology Physician
  • Allen, TX
  • NPI 1922111541
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1233273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328054400000",
    "number": "1326286279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 RAINTREE CIR",
            "address_2": "SUITE 240",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750134901",
            "telephone_number": "469-854-6116",
            "fax_number": "469-854-6399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 RAINTREE CIR",
            "address_2": "SUITE 240",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750134901",
            "telephone_number": "469-854-6116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALCOLM O PERRY III MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-30",
        "last_updated": "2012-02-01",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "MALCOLM",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "469-854-6116",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "TX",
            "license": "J1476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Urology Physician in Allen, TX
• Providers in Allen, TX by specialty
• Urology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.