Perry Kalis M.D. Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

35038121K Issued in OH

Legal business name

PERRY KALIS M.D. INC

Practice address

129 North Maysville Avenue
Suite B
South Zanesville, OH 43701

Phone

(740) 588-0008

Fax

(740) 588-0143

NPI assigned

Nov 15, 2006

Last updated

Jul 30, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Perry M Kalis, M.D.

Title

President

Phone

(740) 588-0008

Specialties & licenses 1

Addresses

Other identifiers 10

Locations

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217376000000",
    "number": "1902979453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 NORTH MAYSVILLE AVE",
            "address_2": "SUITE B",
            "city": "SOUTH ZANESVILLE",
            "state": "OH",
            "postal_code": "437017507",
            "telephone_number": "740-588-0008",
            "fax_number": "740-588-0143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 NORTH MAYSVILLE AVENUE",
            "address_2": "SUITE B",
            "city": "SOUTH ZANESVILLE",
            "state": "OH",
            "postal_code": "43701",
            "telephone_number": "740-588-0008",
            "fax_number": "740-588-0143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERRY KALIS M.D. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2008-07-30",
        "status": "A",
        "authorized_official_last_name": "KALIS",
        "authorized_official_first_name": "PERRY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "740-588-0008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35038121K",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM-LAB",
            "identifier": "000000217078",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "0404062",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2056028",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL MUTUAL",
            "identifier": "235727435003",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BWC",
            "identifier": "23572743500",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONWIDE INSURANCE",
            "identifier": "210780",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM INDIVIDUAL",
            "identifier": "000000122256",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLAN",
            "identifier": "M38121A",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM-GROUP",
            "identifier": "000000162736",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "6952646002",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• First Settlement Phycial Therapy
• Jennifer Lynn Hanshaw, LPN
• Riesbeck Food Markets, Inc. (Riesbeck's Pharmacy)
• Ashley N Samson

• Internal Medicine Physician in South Zanesville, OH
• Providers in South Zanesville, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.