Perry JC MD PA

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

ME83999 Issued in FL

Legal business name

PERRY JC MD PA

Practice address

7999 Philips Hwy
Ste 302
Jacksonville, FL 32256-4443

Phone

(904) 733-0099

Fax

(904) 733-0070

NPI assigned

May 29, 2009

Organization subpart

No

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

Authorized official

Name

Perry J Cole, MD

Title

Owner

Phone

(904) 733-0099

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• THE COLE CLINIC Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Reynaldo Pardo, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Jacksonville, FL
  • NPI 1639297328
  NPD (past)
• Rein Vandervelde, P.T.

  • Physical Therapist
  • Jacksonville, FL
  • NPI 1093811416
  NPD (past)
• James Thomas Frizzelle Jr., PA-C

  • Physician Assistant
  • Chester, VA
  • NPI 1194720417
  NPD (past)

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

{
    "created_epoch": "1243555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306454400000",
    "number": "1457587891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3123",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320853123",
            "telephone_number": "904-824-4990",
            "fax_number": "904-824-2226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7999 PHILIPS HWY",
            "address_2": "STE 302",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322564443",
            "telephone_number": "904-733-0099",
            "fax_number": "904-733-0070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERRY JC MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-29",
        "last_updated": "2011-05-27",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "PERRY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-733-0099",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "ME83999",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0014P",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002608400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OWCP - FECA",
            "identifier": "614424600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7511404",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE COLE CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Angela Hartman Perrin, ARNP-C
• John H Perrin, D.M.D.
• Madison Rachel Perron, RDN
• Juli Perrotto, RN
• Perry General & Internal Medicine of Northeast Florida Inc
• Madyson E Perry-Ruiz
• Alexander Perry, BS, MS
• Alexis Perry
• Amy Perry, RN
• Ashley Perry

• Interventional Pain Medicine Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Interventional Pain Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.