MRS. BROOKE MICHELLE PERLIK (NPI# 1164618302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164618302 |
Entity Type | Individual |
Full Name | MRS. BROOKE MICHELLE PERLIK |
Credential | PAC |
Practice Address |
34600 Chardon Rd Unit 7 Willoughby Hills OH 44094-8481 |
Practice Telephone | 4406026737 |
Practice Fax Number | 4409420316 |
Mailing Telephone | 4406026737 |
Mailing Fax Number | 4409420316 |
Enumeration Date | 2007-09-21 |
Last Update Date | 2013-07-18 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
50.002657 | OH | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | 0071233 | 05 |
Street Address |
34600 CHARDON RD UNIT 7 |
City | WILLOUGHBY HILLS |
State | OH |
Zip Code | 44094-8481 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518574367 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 36596 Euclid Ave, Willoughby, OH 44094 | 2020-09-25 |
1679111322 | Megan King | Nurse Practitioner | 4078 Erie Street, Unit B, Willoughby, OH 44094 | 2019-12-12 |
1124661525 | Mind and Body Infusion Therapies, LLC | Clinic/Center | 9264 Chillicothe Rd., Unit #2, Kirtland, OH 44094 | 2019-10-18 |
1679125637 | Christina Maria Chandler | Family Medicine | 39021 Signature Circle, Willoughby, OH 44094 | 2019-07-10 |
1467920595 | Rachel Curry | Specialist/Technologist | 53400 Euclid Ave., Apt. E-102, Willoughby, OH 44094 | 2018-11-07 |
1437649753 | Katie Lauren Greenaway | Registered Nurse | 5103 Robinhood Dr, Willoughby, OH 44094 | 2018-05-11 |
1003346131 | Heather Marie Hayes | Licensed Practical Nurse | 38882 Mentor Ave., Willoughby, OH 44094 | 2017-06-12 |
1609305028 | Ann Marie Mason | Counselor | 38882 Mentor Avenue, Willoughby, OH 44094 | 2017-06-08 |
1285173005 | Mattie Diann Towns-scott | Social Worker | 34950 Chardon Road, Bldg 2, Suite 210, Willoughby Hills, OH 44094 | 2017-02-13 |
1447797329 | Therese Benz | General Acute Care Hospital | 96000 Euclid Ave., Willoughby, OH 44094 | 2017-01-30 |
Find all providers in zip 44094 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023618428 | Stephanie Ann Keener | Physician Assistant | 7774 Hythe Cir, Centerville, OH 45459-8705 | 2020-10-27 |
1174122600 | Maria Drankov Lane | Physician Assistant | 1806 Muskegon Dr, Cincinnati, OH 45255-2635 | 2020-10-26 |
1326647512 | Junell Rutledge | Physician Assistant | 644 High St, Youngstown, OH 44502-1562 | 2020-10-20 |
1699372383 | Samantha Kibler | Physician Assistant | 7337 Caritas Cir Nw Ste 150, Massillon, OH 44646-9128 | 2020-10-06 |
1982218186 | Morgan Holmes | Physician Assistant | 65 Community Rd Ste F, Tallmadge, OH 44278-2358 | 2020-09-04 |
1902456023 | Kara Meyer | Physician Assistant | 2417 Derbyshire Ct, Cleveland Heights, OH 44106-2778 | 2019-09-19 |
1679122394 | Mariah Bower | Physician Assistant | 2725 Hampshire Rd Apt 3, Cleveland, OH 44106-2570 | 2019-09-05 |
1457908014 | Kristen Fairchild | Physician Assistant | 4235 Secor Rd Bldg 2, Toledo, OH 43623-4231 | 2019-08-19 |
1811549462 | Abigail Malsch | Physician Assistant | 2376 Fenwood Rd, University Heights, OH 44118-3804 | 2019-07-14 |
1164087466 | Jessica Lee Schulte | Physician Assistant | 1110 West Main Cross St., Findlay, OH 45840-2423 | 2019-05-02 |
Find all providers with the same taxonomy |
City | WILLOUGHBY HILLS |
Zip Code | 44094 |
Please comment or provide details below to improve the information on MRS. BROOKE MICHELLE PERLIK.
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.