Active NPI
Jaime Perez, MD
- Plastic and Reconstructive Surgery Physician
- Tampa, FL
National Provider Identifier
1528086196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- ME73172
- Practice address
- 307 S Macdill Ave
Tampa, FL 33609-3141 - Phone
- (813) 877-3739
- Fax
- (813) 877-3738
- NPI assigned
- Jul 18, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery of the Hand (Plastic Surgery) Physician | 2082S0105X | ME73172 | FL | |
| Plastic and Reconstructive Surgery Physician | 2086S0122X | ME73172 | FL | Primary |
Addresses
Primary practice location
307 S Macdill Ave
Tampa, FL 33609-3141
Mailing address
307 S Macdill Ave
Tampa, FL 33609-3141
Phone (813) 877-3739
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2373861 | Other | FL | AETNA US HEALTHCARE HMO |
| 58077 | Other | FL | BLUE CROSS & BLUE SHIELD |
| 7227174 | Other | FL | AETNA US HEALTHCARE PPO/M |
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 |
|---|---|---|---|
| ME73172 | FL | MD | Surgery of the Hand (Plastic Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tampa General Hospital | Current | Accepting new patients |
Interoperability endpoints
- jperez8346@direct.tgh.org
- https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1124558929
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235692800000",
"number": "1528086196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "307 S MACDILL AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336093141",
"telephone_number": "813-877-3739",
"fax_number": "813-877-3738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "307 S MACDILL AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336093141",
"telephone_number": "813-877-3739",
"fax_number": "813-877-3738"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "JAIME",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-18",
"last_updated": "2009-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "2082S0105X",
"taxonomy_group": "",
"desc": "Plastic Surgery, Surgery of the Hand",
"state": "FL",
"license": "ME73172",
"primary": false
},
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "FL",
"license": "ME73172",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA US HEALTHCARE HMO",
"identifier": "2373861",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS & BLUE SHIELD",
"identifier": "58077",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA US HEALTHCARE PPO/M",
"identifier": "7227174",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.