Active NPI
William E Perry, M.D.
- Family Medicine Physician
- Prescott, AZ
National Provider Identifier
1518077486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 11464
- Practice address
- 480 N Fitzmaurice Dr
Prescott, AZ 86303-6234 - Phone
- (928) 443-7479
- NPI assigned
- Aug 30, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 11464 | AZ | Primary |
Addresses
Primary practice location
480 N Fitzmaurice Dr
Prescott, AZ 86303-6234
Mailing address
480 N Fitzmaurice Dr
Prescott, AZ 86303-6234
Phone (928) 443-7479
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 286808 | Other | AZ | ACCHS |
| 86-1043923 | Other | AZ | AZ FOUNDATION |
| AZ0898770 | Other | AZ | BLUE CROSS BLUE SHIELD |
| 86-1043923 | Other | AZ | UNITED HEALTH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125 | WY | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| William E. Perry, MD, PC | Family Medicine | Past | Accepting new patients |
| Ton Sells Hospital | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Prescott, AZ
- NPI 1588776728
-
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
- Sells, AZ
- NPI 1699717785
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1518077486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "480 N FITZMAURICE DR",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863036234",
"telephone_number": "928-443-7479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "480 N FITZMAURICE DR",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863036234",
"telephone_number": "928-443-7479"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRY",
"first_name": "WILLIAM",
"middle_name": "E",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "11464",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACCHS",
"identifier": "286808",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AZ FOUNDATION",
"identifier": "86-1043923",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "AZ0898770",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH",
"identifier": "86-1043923",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Prescott, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.