Active NPI
Miriam Katherine Perez, M.D.
- Pediatrics Physician
- Morgantown, WV
National Provider Identifier
1609809219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 22331
- Practice address
- 608 Cheat Rd
Morgantown, WV 26508-4210 - Phone
- (304) 594-1313
- Fax
- (304) 594-2408
- NPI assigned
- Jul 8, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 22331 | WV | Primary |
Addresses
Primary practice location
608 Cheat Rd
Morgantown, WV 26508-4210
Mailing address
1000 Technology Dr
Ste 2320
Fairmont, WV 26554-8824
Phone (304) 368-2781
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 |
|---|---|---|---|
| 22331 | WV | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Euclid Hospital Cleveland Clinic Health System | Current | Accepting new patients | |
| West Virginia University Hospitals, Inc | Past | Accepting new patients |
Interoperability endpoints
- mperez234843@direct.ccf.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba cleveland clinic foundation
- General Acute Care Hospital
- Euclid, OH
- NPI 1457403016
-
dba WVUH Professional Group
- Emergency Medicine Physician
- Morgantown, WV
- NPI 1740763952
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1609809219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 TECHNOLOGY DR",
"address_2": "STE 2320",
"city": "FAIRMONT",
"state": "WV",
"postal_code": "265548824",
"telephone_number": "304-368-2781",
"fax_number": "304-368-2759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "608 CHEAT RD",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265084210",
"telephone_number": "304-594-1313",
"fax_number": "304-594-2408"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "MIRIAM",
"middle_name": "KATHERINE",
"name_prefix": "Mrs.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "WV",
"license": "22331",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Morgantown, WV
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.