Organization Active NPI

Laurence E Perrin MD Facog

  • Surgery Physician
  • Olympia, WA
National Provider Identifier
1457496515
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD00020730 Issued in WA
Legal business name
LAURENCE E PERRIN MD FACOG
Practice address
128 Lilly Rd NE
Suite 205
Olympia, WA 98506-5029
Phone
(360) 754-3380
Fax
(360) 236-7929
NPI assigned
Feb 20, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Laurence E Perrin, MDNPI 1710094156
Title
Owner
Phone
(360) 754-3380

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X MD00020730 WA Primary

Addresses

Primary practice location

128 Lilly Rd NE
Suite 205
Olympia, WA 98506-5029

Mailing address

128 Lilly Rd NE
Suite 205
Olympia, WA 98506-5029
Phone (360) 754-3380

Other identifiers 1

IdentifierTypeStateIssuer
1095413MedicaidWA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457496515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 LILLY RD NE",
            "address_2": "SUITE 205",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065029",
            "telephone_number": "360-754-3380",
            "fax_number": "360-236-7929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 LILLY RD NE",
            "address_2": "SUITE 205",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065029",
            "telephone_number": "360-754-3380",
            "fax_number": "360-236-7929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURENCE E PERRIN MD FACOG",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PERRIN",
        "authorized_official_first_name": "LAURENCE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-754-3380",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "WA",
            "license": "MD00020730",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1095413",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.