Earnest Perry, M.D., Inc.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

28596 Issued in OH

Legal business name

EARNEST PERRY, M.D., INC.

Practice address

1320 Belmont Avenue
Ste 2
Youngstonw, OH 44504

Phone

(330) 744-0213

Fax

(330) 744-2101

NPI assigned

Aug 28, 2007

Organization subpart

No

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

Authorized official

Name

Earnest Perry, M.D.

Title

M.D. / Owner

Phone

(330) 744-0213

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Michael Davis, MD

  • Family Medicine Physician
  • Youngstown, OH
  • NPI 1982678272
  NPD (past)

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188259200000",
    "number": "1962696419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 BELMONT AVENUE",
            "address_2": "STE 2",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "44501",
            "telephone_number": "330-744-0213",
            "fax_number": "330-744-2101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 BELMONT AVENUE",
            "address_2": "STE 2",
            "city": "YOUNGSTONW",
            "state": "OH",
            "postal_code": "44504",
            "telephone_number": "330-744-0213",
            "fax_number": "330-744-2101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EARNEST PERRY, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-28",
        "last_updated": "2007-08-28",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "EARNEST",
        "authorized_official_title_or_position": "M.D. / OWNER",
        "authorized_official_telephone_number": "330-744-0213",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "OH",
            "license": "28596",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0108118",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2007; 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.