Active NPI
Jean Marie Perry, PAC
- Physician Assistant
- Pittsburgh, PA
National Provider Identifier
1366438608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- MA000672L
- Practice address
- 330 Curry Hollow Rd
Pittsburgh, PA 15236-4621 - Phone
- (412) 653-4900
- Fax
- (412) 653-9969
- NPI assigned
- Sep 22, 2005
- 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 | MA000672L | PA | Primary |
Addresses
Primary practice location
330 Curry Hollow Rd
Pittsburgh, PA 15236-4621
Mailing address
330 Curry Hollow Rd
Pittsburgh, PA 15236-4621
Phone (412) 653-4900
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: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
60 Terence Dr
Suite 101
Pittsburgh, PA 15236-4148
Phone (412) 653-4900
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA000672L | PA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1366438608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 CURRY HOLLOW RD",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152364621",
"telephone_number": "412-653-4900",
"fax_number": "412-653-9969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 CURRY HOLLOW RD",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152364621",
"telephone_number": "412-653-4900",
"fax_number": "412-653-9969"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRY",
"first_name": "JEAN MARIE",
"name_prefix": "Ms.",
"credential": "PAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-09-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "MA000672L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pittsburgh, PA
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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.