Active NPI
Perry County Health System
- Surgery Physician
- Perryville, MO
National Provider Identifier
1740427889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- PERRY COUNTY HEALTH SYSTEM
- Practice address
- 212 Hospital LN
Suite 202
Perryville, MO 63775-1276 - Phone
- (573) 547-8390
- Fax
- (573) 547-6238
- NPI assigned
- Jan 12, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Patrick Carron
- Title
- President/ Ceo
- Phone
- (573) 547-2536
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
212 Hospital LN
Suite 202
Perryville, MO 63775-1276
Mailing address
212 Hospital LN
Suite 202
Perryville, MO 63775-1276
Phone (573) 547-8390
Other names 1
- PERRYVILLE SURGICAL CLINIC
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231718400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1238371200000",
"number": "1740427889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "212 HOSPITAL LN",
"address_2": "SUITE 202",
"city": "PERRYVILLE",
"state": "MO",
"postal_code": "637751276",
"telephone_number": "573-547-8390",
"fax_number": "573-547-6238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "212 HOSPITAL LN",
"address_2": "SUITE 202",
"city": "PERRYVILLE",
"state": "MO",
"postal_code": "637751276",
"telephone_number": "573-547-8390",
"fax_number": "573-547-6238"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PERRY COUNTY HEALTH SYSTEM",
"organizational_subpart": "NO",
"enumeration_date": "2009-01-12",
"last_updated": "2009-03-30",
"status": "A",
"authorized_official_last_name": "CARRON",
"authorized_official_first_name": "PATRICK",
"authorized_official_title_or_position": "PRESIDENT/ CEO",
"authorized_official_telephone_number": "573-547-2536",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "PERRYVILLE SURGICAL CLINIC",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Perryville, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.