Michael Dale Perrigan, M.D.

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

MD0000016889 Issued in TN

Practice address

73 Old West Adams St
Crossville, TN 38555-1941

Phone

(931) 484-0042

Fax

(931) 456-2472

NPI assigned

Oct 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414022400000",
    "number": "1609962828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2929",
            "address_2": "CROSSVILLE GYNECOLOGY ASSOCIATES PC",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385572929",
            "telephone_number": "931-484-0042",
            "fax_number": "931-456-2472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 OLD WEST ADAMS ST",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385551941",
            "telephone_number": "931-484-0042",
            "fax_number": "931-456-2472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRIGAN",
        "first_name": "MICHAEL",
        "middle_name": "DALE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2014-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "TN",
            "license": "MD0000016889",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "160057729",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI MICHAEL PERRIGAN",
            "identifier": "1609962828",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "4028476",
            "identifier": "BCBS",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI CROSSVILLE GYNECOLOGY",
            "identifier": "1679784466",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3021328",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Gynecology Physician in Crossville, TN
• Providers in Crossville, TN by specialty
• Gynecology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2014; 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.