Organization Active NPI

Hector F Perez MD PC

  • Family Medicine Physician
  • Fort Wayne, IN
National Provider Identifier
1376711267
Registry record updated Sep 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01044945 Issued in IN
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

Updated by the provider on Sep 21, 2011

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
200395340AMedicaidIN

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.