NPIMap

Organization Active NPI

Perrin OB/GYN, PC

Doing business as Laurie S Perrin MD

  • Obstetrics & Gynecology Physician
  • Flagstaff, AZ
National Provider Identifier
1548361041
Registry record updated Nov 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
31323 Issued in AZ
Legal business name
PERRIN OB/GYN, PC
Doing business as
Laurie S Perrin MD
Practice address
1100 N San Francisco St
Suite B
Flagstaff, AZ 86001-3260
Phone
(928) 779-7852
Fax
(928) 774-0508
NPI assigned
Sep 26, 2006
Last updated
Nov 3, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2008

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

Authorized official

Name
Dr. Laurie Sue Perrin, MDNPI 1912990367
Title
Physician
Phone
(928) 779-7852

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
Obstetrics & Gynecology Physician 207V00000X 31323 AZ Primary

Addresses

Primary practice location

1100 N San Francisco St
Suite B
Flagstaff, AZ 86001-3260

Mailing address

1100 N San Francisco St
Suite B
Flagstaff, AZ 86001-3260
Phone (928) 779-7852

Other identifiers 1

IdentifierTypeStateIssuer
774382MedicaidAZ

Other names 1

  • Laurie S Perrin MD Doing business as

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the 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": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225670400000",
    "number": "1548361041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 N SAN FRANCISCO ST",
            "address_2": "SUITE B",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860013260",
            "telephone_number": "928-779-7852",
            "fax_number": "928-774-0508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 N SAN FRANCISCO ST",
            "address_2": "SUITE B",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860013260",
            "telephone_number": "928-779-7852",
            "fax_number": "928-774-0508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERRIN OB/GYN, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2008-11-03",
        "status": "A",
        "authorized_official_last_name": "PERRIN",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "928-779-7852",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AZ",
            "license": "31323",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "774382",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laurie S Perrin MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Flagstaff, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2008; 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.