NPIMap

Individual provider Active NPI

Edward Charles Perry III, MD

  • Neurological Surgery Physician
  • Reno, NV
National Provider Identifier
1780847673
Registry record updated Oct 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
14780 Issued in NV
Practice address
9990 Double R Blvd
Suite 200
Reno, NV 89521-6014
Phone
(775) 348-8800
Fax
(775) 348-8818
NPI assigned
Jul 9, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2013

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 125050002 IL
Neurological Surgery Physician 207T00000X 036.128451 IL
Neurological Surgery Physician 207T00000X MD48629 TN
Neurological Surgery Physician 207T00000X 14780 NV Primary

Addresses

Primary practice location

9990 Double R Blvd
Suite 200
Reno, NV 89521-6014

Mailing address

9990 Double R Blvd
Suite 200
Reno, NV 89521-6014
Phone (775) 348-8800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130529000669 NV Practitioner - Neurosurgery 8123275286 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
University of California, Davis School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
James J Lynch M D LTDGroup PAC ID 9133188626, 81 clinicians

Practice addresses (Care Compare)

780 Vista Blvd
Suite 100
Sparks, NV 89434-6677
Phone (775) 348-8800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.42 of 100Reported as group
Quality
93.48
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
90.71 of 100Reported as apm
Quality
81.42
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion305
Laminectomy or laminotomy (partial removal of spine bones)118

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036.128451ILMDNeurological Surgery Physician
125050002ILMDNeurological Surgery Physician
14780NVMDNeurological Surgery Physician
MD48629TNMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
James J Lynch MD LTD CurrentSince Jul 1, 2013 Accepting new patients
James J Lynch M D LTD CurrentSince Jul 1, 2013 Accepting new patients
Renown Regional Medical Center Past Accepting new patients
Prime Healthcare Services - Reno LLC Past Accepting new patients

Locations

1470 Medical Pkwy
Ste 220
Carson City, NV 89703

973 Mica Dr
Ste 201
Carson City, NV 89705
Phone (702) 884-5470

9990 Double R Blvd
Ste 200
Reno, NV 89521
Phone (753) 488-8008

10381 Double R Blvd
Reno, NV 89521
Phone (775) 322-1200

9480 Double Diamond Pkwy
Ste 200
Reno, NV 89521
Phone (775) 348-8000

10539 Professional Cir
Ste 201
Reno, NV 89521
Phone (775) 674-5632

780 Vista Blvd
Ste 100
Sparks, NV 89434
Phone (753) 348-8800

780 Vista Blvd
#101
Sparks, NV 89434

780 Vista Blvd
Ste 101
Sparks, NV 89434

Interoperability endpoints

  • Direct secure messaging: edward.perry.1@22724.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381708800000",
    "number": "1780847673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9990 DOUBLE R BLVD",
            "address_2": "SUITE 200",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895216014",
            "telephone_number": "775-348-8800",
            "fax_number": "775-348-8818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9990 DOUBLE R BLVD",
            "address_2": "SUITE 200",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895216014",
            "telephone_number": "775-348-8800",
            "fax_number": "775-348-8818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "EDWARD",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-09",
        "last_updated": "2013-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "IL",
            "license": "125050002",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "IL",
            "license": "036.128451",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "TN",
            "license": "MD48629",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NV",
            "license": "14780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.