DR. EDWARD ALEXANDER PEREZ-CONDE (NPI# 1124095591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124095591 |
| Entity Type | Individual |
| Full Name | DR. EDWARD ALEXANDER PEREZ-CONDE |
| Credential | M.D. |
| Practice Address |
325 E H St Iron Mountain MI 49801-4760 |
| Mailing Address |
Po Box 549 Iron Mountain MI 49801-0549 |
| Practice Telephone | 9067743300 |
| Mailing Telephone | 9067741313 |
| Mailing Fax Number | 9067765639 |
| Enumeration Date | 2006-03-03 |
| Last Update Date | 2012-07-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 4301071310 | MI | Allopathic & Osteopathic Physicians |
| Y | 171000000X | Military Health Care Provider | 4301071310 | MI | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBS MI | 0102200921 | 01 |
| MI | RR MEDICARE | 930124796 | 01 |
| Street Address |
325 E H ST |
| City | IRON MOUNTAIN |
| State | MI |
| Zip Code | 49801-4760 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457355067 | Dean L Hartwig | Optometrist | 325 E H St, Iron Mountain, MI 49801 | 2005-06-10 |
| 1033729447 | Robert David Jackson | Psychologist | 325 E H St, Iron Mountain, MI 49801-4760 | 2020-08-01 |
| 1174133508 | Francis Thomas Mcmenamin Jr. | Psychologist | 325 E H St, Iron Mountain, MI 49801-4760 | 2020-07-31 |
| 1225647050 | Lisa Ruth Feldmann | Pharmacist | 325 E H St, Iron Mountain, MI 49801-4760 | 2020-07-28 |
| 1871101394 | Cherisse Norberte | Pharmacist | 325 E H St, Iron Mountain, MI 49801-4760 | 2020-07-21 |
| 1386252492 | Kathleen Jane Dupont | Registered Nurse | 325 E H St, Iron Mountain, MI 49801-4760 | 2020-07-15 |
| 1922623438 | Joseph Lance Walker | Pharmacist | 325 E H St, Iron Mountain, MI 49801-4760 | 2020-06-10 |
| 1760011902 | Beata Maria Czarniak | Respiratory Therapist, Certified | 325 E H St, Iron Mountain, MI 49801-4760 | 2020-04-08 |
| 1710530456 | Jeanelle Hautala | Registered Nurse | 325 E H St, Iron Mountain, MI 49801-4760 | 2019-07-22 |
| 1003478959 | Alexandra Hensen | Dentist | 325 E H St, Iron Mountain, MI 49801-4760 | 2019-07-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770008062 | John M Baccino | Dietitian, Registered | 325 E H St # 133, Iron Mountain, MI 49801 | 2017-08-08 |
| 1699148692 | Bd Baker Rentals LLC | Optometrist | 2100 Aragon Street, Iron Mountain, MI 49801 | 2015-11-12 |
| 1083044762 | Integrated First Response-great Lakes | Ambulance | 719 River Avenue, Iron Mountain, MI 49801 | 2013-11-18 |
| 1912340936 | Andrew James Tomlinson | Social Worker | Iron Mountain Va, 325 East H Street, Iron Mountain, MI 49801 | 2013-04-09 |
| 1902196702 | Daniel John Fornetti | Dentist | 100 S. Stephenson Ave., Iron Mountain, MI 49801 | 2011-04-13 |
| 1871815613 | Colleen Ann Sleik | Physical Therapist | Bellin Health Physical Therapy Iron Moutain, 440 Woodward Ave, Iron Mountain, MI 49801 | 2010-02-21 |
| 1679714083 | Great Lakes Recovery Centers, Inc. | Clinic/Center | 1401 N. 26th Street, Suite 109, Escanaba, MI 49801 | 2009-03-13 |
| 1831349539 | Amanda Jane Petti | Dietitian, Registered | 300 E H Street, Nutrition & Food Service, Iron Mountain, MI 49801 | 2008-09-30 |
| 1891946521 | Riki Rouse | Hearing Instrument Specialist | W8065 S Us Hwy 2/141, Iron Mountain, MI 49801 | 2008-09-30 |
| 1366690612 | Greenlund Enterpries, Inc | Hearing Aid Equipment | W8065 S. Us High 2/141, Suite #13, Iron Mountain, MI 49801 | 2008-08-28 |
| Find all providers in zip 49801 | ||||
| Taxonomy Code | 171000000X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |
| Notes: [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962903948 | Rachel Elaine Quist | Military Health Care Provider | 7540 Crooked Creek Dr Sw, Byron Center, MI 49315-8123 | 2018-02-23 |
| 1578869095 | Allen Ray Burkett | Military Health Care Provider | 2274 Shady Grove Ln, Temperance, MI 48182-1365 | 2011-01-31 |
| 1649508433 | Janice K Smith | Military Health Care Provider | 10496 Hitchingham Rd, Milan, MI 48160-9731 | 2009-12-07 |
| 1679775308 | Choctaw Management Services Enterprise | Military Health Care Provider | 1172 Kirts Blvd, U.S. Meps, Troy, MI 48084-4846 | 2007-06-04 |
| 1205249430 | Gregory Alvin Wilson Sr. | Military Health Care Provider | 5500 Armstrong Road, Battle Creek, MI 49037 | 2014-06-05 |
| 1558452938 | Charles Hubbard Williams IIi | Military Health Care Provider | 1175 Airport Access Rd, Traverse City, MI 49686-3513 | 2006-09-28 |
| 1770511925 | Bonnie Jean Nowaczyk | Military Health Care Provider | 1500 Weiss St, Saginaw, MI 48602-5251 | 2006-06-28 |
| City | IRON MOUNTAIN |
| Zip Code | 49801 |
Please comment or provide details below to improve the information on DR. EDWARD ALEXANDER PEREZ-CONDE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.