Victoria Rose Peruski, DO

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

Camc Behavioral Medicine & Psychiatry
3200 Maccorkle Ave SE
Charleston, WV 25304

Phone

(304) 388-1000

Fax

(304) 388-1041

NPI assigned

Apr 19, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Victoria Rose Peruski Professional name

Medicare fee-for-service enrollment

Enrolled in WV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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

{
    "created_epoch": "1681862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681862400000",
    "number": "1881381945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24035 TIMBER CREEK LN",
            "city": "BROWNSTOWN",
            "state": "MI",
            "postal_code": "481348013",
            "telephone_number": "734-493-2288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CAMC BEHAVIORAL MEDICINE & PSYCHIATRY",
            "address_2": "3200 MACCORKLE AVE SE",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "25304",
            "telephone_number": "304-388-1000",
            "fax_number": "304-388-1041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERUSKI",
        "first_name": "VICTORIA",
        "middle_name": "ROSE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-19",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICTORIA",
            "last_name": "PERUSKI",
            "middle_name": "ROSE",
            "credential": "DO",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Mary Meagan Perry
• Preslie Perry
• Tabitha Perry
• Eric M Persily, M.D.
• Sherry Lynn Persinger, PA
• Amie Peters
• Jaydah Peters
• Pamela P Peters
• Judy Jones Petersen, D.O.
• David Peterson

• Student in an Organized Health Care Education/Training Program in Charleston, WV
• Providers in Charleston, WV by specialty
• Student in an Organized Health Care Education/Training Program in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2023; 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.