Active NPI
Hector F Perez MD PC
- Family Medicine Physician
- Fort Wayne, IN
National Provider Identifier
1376711267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 01044945
- Legal business name
- HECTOR F PEREZ MD PC
- Practice address
- 5717 So Anthony
Ste 500
Fort Wayne, IN 46806 - Phone
- (260) 441-3262
- Fax
- (260) 447-8657
- NPI assigned
- Feb 14, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Hector Francisco Perez, MD
- Title
- President Owner
- Phone
- (260) 441-3262
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 01044945 | IN | Primary |
Addresses
Primary practice location
5717 So Anthony
Ste 500
Fort Wayne, IN 46806
Mailing address
5717 So Anthony
Ste 500
Fort Wayne, IN 46806
Phone (260) 441-3262
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200395340A | Medicaid | IN |
National Provider Directory
National Provider DirectoryLocations
5717 S Anthony Blvd
Ste 500
Fort Wayne, IN 46806
Phone (260) 441-3262
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
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- Canton, GA
- NPI 1760570642
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202947200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1316563200000",
"number": "1376711267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5717 SO ANTHONY",
"address_2": "STE 500",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "46806",
"telephone_number": "260-441-3262",
"fax_number": "260-447-8657"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5717 SO ANTHONY",
"address_2": "STE 500",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "46806",
"telephone_number": "260-441-3262",
"fax_number": "260-447-8657"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HECTOR F PEREZ MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-14",
"last_updated": "2011-09-21",
"status": "A",
"authorized_official_last_name": "PEREZ",
"authorized_official_first_name": "HECTOR",
"authorized_official_middle_name": "FRANCISCO",
"authorized_official_title_or_position": "PRESIDENT OWNER",
"authorized_official_telephone_number": "260-441-3262",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "IN",
"license": "01044945",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200395340A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.