Van Emmet Perry, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

K9148 Issued in TX

Practice address

2455 NE Loop 410
Ste 100
San Antonio, TX 78217-5649

Phone

(210) 659-2635

Fax

(210) 599-1223

NPI assigned

Jul 7, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474416000000",
    "number": "1669479366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4330 MEDICAL DR",
            "address_2": "STE 500",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293318",
            "telephone_number": "210-732-3668",
            "fax_number": "210-599-1223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2455 NE LOOP 410",
            "address_2": "STE 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782175649",
            "telephone_number": "210-659-2635",
            "fax_number": "210-599-1223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "VAN",
        "middle_name": "EMMET",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2016-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "K9148",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "K9148",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMED NETWORKS INC",
            "identifier": "TXB150870",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Latasia Mona Perry
• Laura Jennie Perry, RN
• Laura Kathleen Perry, MA CCC-SLP
• Ligia Perry
• Traci Jane Perry, O.T.
• Kenzie Danae Perryman, PA-C
• Shaun D Perryman, DDS, MBA
• Teri Lynn Perryman, MD
• Vonda F Perryman
• Robert Harold Persellin, M. D.

• Dermatology Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Dermatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2016; 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.