Jennifer Elizabeth Perry, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

50.003229RX Issued in OH

Practice address

27 St Lawrence Dr
Suite 204
Tiffin, OH 44883-8312

Phone

(419) 455-8570

Fax

(419) 455-8579

NPI assigned

Mar 30, 2011

Last updated

May 1, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Incare Health Solutions LLC

  dba Walk in Urgent Care

  • Internal Medicine Physician
  • Marion, OH
  • NPI 1235422403
  Medicare reassignment NPD
• Emergency Professional Services, Inc.

  dba Emergency Professional Services of Ohio, Inc.

  • Emergency Medicine Physician
  • Seaman, OH
  • NPI 1093762353
  Medicare reassignment
• Fisher-Titus Medical Care LLC

  • Family Medicine Physician
  • Norwalk, OH
  • NPI 1467636399
  Medicare reassignment
• Ohio Emergency Professionals Inc

  • Emergency Medicine Physician
  • Columbus, OH
  • NPI 1982983425
  Medicare reassignment
• Blanchard Valley Regional Health Center

  dba Blanchard Valley Hospital

  • Rehabilitation Hospital Unit
  • Findlay, OH
  • NPI 1578336400
  NPD
• Fisher-Titus Medical Center

  • General Acute Care Hospital
  • Norwalk, OH
  • NPI 1992738959
  NPD
• Urocare Associates - Thomas Zaciewski MD - LLC

  • Urology Physician
  • Tiffin, OH
  • NPI 1912330473
  NPD (past)

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

{
    "created_epoch": "1301443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493596800000",
    "number": "1821387846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 ST LAWRENCE DR",
            "address_2": "SUITE 204",
            "city": "TIFFIN",
            "state": "OH",
            "postal_code": "448838312",
            "telephone_number": "419-455-8570",
            "fax_number": "419-455-8579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 ST LAWRENCE DR",
            "address_2": "SUITE 204",
            "city": "TIFFIN",
            "state": "OH",
            "postal_code": "448838312",
            "telephone_number": "419-455-8570",
            "fax_number": "419-455-8579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "JENNIFER",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-30",
        "last_updated": "2017-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.003229RX",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OH",
            "license": "50.003229RX",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "OH",
            "license": "50.003229RX",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie J Peck, RPH
• Omar Perez Rodriguez, M.D,
• Alyssa Jenn Perkins
• Kylie Perkins, CRNA
• Erin N Perry, PC
• Personal Touch Deleveries Inc
• Pharmacy Counter LLC
• Michael Piatz, MD
• Austin Pierpont
• Pinnacle Hearing, LTD.

• Medical Physician Assistant in Tiffin, OH
• Providers in Tiffin, OH by specialty
• Medical Physician Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.