Angelica Perry, DO
Individual provider Active NPI Family Medicine Physician · Nassawadox, VA
NPI 1497983886 · NPPES record last updated Sep 12, 2013
Key facts
- NPI
- 1497983886
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 0102203270 (VA)
- Practice address
- 9524 Hospital Avenue
Nassawadox, VA 23413 - Phone
- (757) 442-6600
- Fax
- (757) 442-3839
- NPI assigned
- Jun 24, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0102203270 | VA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0102203270 | VA | Yes |
Addresses
Primary practice location
9524 Hospital Avenue
Nassawadox, VA 23413
Mailing address
856 J Clyde Morris Blvd
Suite a
Newport News, VA 23601-1318
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497983886 | Medicaid | VA |
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- Henry John Reason
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All providers in Nassawadox, VA · Family Medicine Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 12, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.