Mark Perni, DO
Individual provider Active NPI Emergency Medicine Physician · Clearwater, FL
NPI 1750358099 · NPPES record last updated May 1, 2018
Key facts
- NPI
- 1750358099
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- OS008592L (PA)
- Practice address
- 15100 Rescue Way
Clearwater, FL 33762-3502 - Phone
- (727) 535-1437
- Fax
- (727) 535-4190
- NPI assigned
- Mar 7, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 11
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Conemaugh Valley Memorial Hospital | Emergency Medicine | Past | Accepting new patients |
| Gordonia Emergency Physicians | Emergency Medicine | Past | Accepting new patients |
| Smith of Georgia, LLC | Past | Accepting new patients | |
| Emergency Medicine South LLC | Emergency Medicine | Past | Accepting new patients |
| Dodge Emergency Group LLC | Emergency Medicine | Past | Accepting new patients |
| Acs Primary Care Physicians - Southeast PC | Emergency Medicine | Past | Accepting new patients |
| Greenbrier Emergency Services, Inc. | Emergency Medicine | Past | Accepting new patients |
| The Baxley and Appling County Hospital Authority | Past | Accepting new patients | |
| West Virginia Em-I Medical Services | Emergency Medicine | Past | Accepting new patients |
| Sterling Emergency Services of the Southeast Inc | Emergency Medicine | Past | Accepting new patients |
| Lock Haven Emergency Physicians PLLC | Emergency Medicine | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | OS008592L | PA | Yes |
Addresses
Primary practice location
15100 Rescue Way
Clearwater, FL 33762-3502
Mailing address
24740 Energy Hwy
New Martinsville, WV 26155-8570
Phone (912) 659-1544
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101436352 | Medicaid | PA |
Other providers in Clearwater, FL
- Pablo F Perez
- Stephen Thomas Perez
- Summer Perez
- Performance Chiropractic
- Karen D Perkins
- Patrice Perosi
- Morgan Perrotti
- Valeria R Perruci
- Amy Lynn Perry
- William Perry
All providers in Clearwater, FL · Emergency Medicine Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 1, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.