Peritus Medical Group, LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

PERITUS MEDICAL GROUP, LLC

Practice address

9301 N Central Expy # 345
Dallas, TX 75231-0806

Phone

(972) 408-2777

Fax

(972) 692-0514

NPI assigned

Dec 3, 2013

Last updated

Jul 18, 2014By 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

Mr. Larry J Brayton

Title

Cfo

Phone

(972) 588-1050

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1386028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405641600000",
    "number": "1356772206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17111 PRESTON RD STE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752481234",
            "telephone_number": "972-588-1050",
            "fax_number": "972-588-1041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9301 N CENTRAL EXPY # 345",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752310806",
            "telephone_number": "972-408-2777",
            "fax_number": "972-692-0514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERITUS MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-03",
        "last_updated": "2014-07-18",
        "status": "A",
        "authorized_official_last_name": "BRAYTON",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "972-588-1050",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Perioperative and Transitional Medicine Group PLLC
• Perioperative and Transitional Medicine Group PLLC
• Luke Prakash Peris, M.D.
• Maya Christianne Peris, MD
• Margaret M Perish, PSY.D.
• Ashley Deann Perkins-Tinsley, MSN, RN
• Allie Mishael Perkins
• Ashlen Blake Perkins, NP
• Christopher Antoine Perkins
• Dan G Perkins, PH.D.

• Nurse Practitioner in Dallas, TX
• Providers in Dallas, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2014; 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.