JEROME J PERRA (NPI# 1174591275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174591275 |
| Entity Type | Individual |
| Full Name | JEROME J PERRA |
| Credential | MD |
| Practice Address |
1285 Nininger Rd Suite 107 Hastings MN 55033-1086 |
| Mailing Address |
710 Commerce Dr Ste 200 Woodbury MN 55125-4925 |
| Practice Telephone | 6518425412 |
| Practice Fax Number | 6514372988 |
| Mailing Telephone | 6519685042 |
| Mailing Fax Number | 6519685904 |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2015-06-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 38049 | MN | Allopathic & Osteopathic Physicians |
| Street Address |
1285 NININGER RD SUITE 107 |
| City | HASTINGS |
| State | MN |
| Zip Code | 55033-1086 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164876942 | Gita Byraiah | Obstetrics & Gynecology | 1285 Nininger Rd, Hastings, MN 55033-1086 | 2016-04-19 |
| 1255693453 | Garret Thomas Lechtenberg | Surgery | 1285 Nininger Rd, Hastings, MN 55033-1086 | 2012-06-13 |
| 1578869293 | Allina Health System | Clinic/Center | 1285 Nininger Rd, Hastings, MN 55033-1086 | 2011-01-27 |
| 1679710248 | Maria O Stanislaw | Pediatrics | 1285 Nininger Rd, Hastings, MN 55033-1086 | 2009-01-19 |
| 1063681872 | Terry Cherner | Physical Therapist | 1285 Nininger Rd, Hastings, MN 55033-1086 | 2008-02-26 |
| 1689730491 | Tammy J John | Registered Nurse | 1285 Nininger Rd, Hastings, MN 55033-1086 | 2006-12-28 |
| 1396819751 | Sanaya Darayus Bharucha | Pediatrics | 1285 Nininger Rd, Hastings, MN 55033-1086 | 2006-11-20 |
| 1578579264 | David John Ries | Family Medicine | 1285 Nininger Rd, Hastings, MN 55033-1086 | 2006-08-01 |
| 1134177561 | Susan E. Nelson | Nurse Practitioner | 1285 Nininger Rd, Hastings, MN 55033-1086 | 2006-05-05 |
| 1538122817 | Peter Jon Larsen | Physician Assistant | 1285 Nininger Rd, Hastings, MN 55033-1086 | 2006-04-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679052898 | Juan Miguel Almonte Sanchez | Dentist | 1465 N Frontage Rd, Hastings, MN 55033 | 2018-08-08 |
| 1194126995 | Grand St Paul Cvs LLC | Durable Medical Equipment & Medical Supplies | 1411 Vermillion, Hastings, MN 55033 | 2014-09-11 |
| 1134490469 | Bernie Jerome Menge | Counselor | 1303 S Frontage Rd Ste 275, Hastings, MN 55033 | 2012-01-18 |
| 1578874814 | Kristen Kingsbury Desautel | Optometrist | 1757 N. Frontage Rd, Hastings, MN 55033 | 2010-06-30 |
| 1790944973 | Parker Chiropractic Pa | Chiropractor | 1320 S Frontage Rd, Ste 102, Hastings, MN 55033 | 2008-06-03 |
| 1518144740 | Susan Hietala Levahn | Physical Therapist | 85 Pleasant Ave, Hastings, MN 55033 | 2008-01-30 |
| 1851578215 | John Thomas Tonsager | Physical Therapist | 1285 Nininger Road, Hastings, MN 55033 | 2008-01-29 |
| 1588849889 | Laura Lynn Richardson | Occupational Therapist | 85 Pleasant Drive, Hastings, MN 55033 | 2008-01-04 |
| 1518142801 | Debra Ann Perron Mccabe | Occupational Therapist | 1175 Nininger Road, Hastings, MN 55033 | 2008-01-04 |
| 1083899892 | Christina Marie Kummer | Occupational Therapist | 85 Pleasant, Regina Medical Center Ymca Location Out Pt Clinic, Hastings, MN 55033 | 2007-12-31 |
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| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710928130 | Barry A Bohlen | Orthopaedic Surgery | 2207 Osborne Dr W, Suite 100, Hastings, NE 68901-9112 | 2006-06-09 |
| 1144290172 | Bryan Scott Kamps | Orthopaedic Surgery | 840 Cook Rd, Hastings, MI 49058-9616 | 2006-01-24 |
| 1598183196 | Derek Paul Axibal | Orthopaedic Surgery | 840 Cook Rd, Hastings, MI 49058-9616 | 2014-04-01 |
| 1932321924 | Travis B. Stoner | Orthopaedic Surgery | 2207 Osborne Dr W, Suite 100, Hastings, NE 68901-9112 | 2007-05-02 |
| 1346373065 | Hastings Orthopedic Clinic PC | Orthopaedic Surgery | 840 Cook Rd, Hastings, MI 49058-9616 | 2007-03-13 |
| 1528098340 | Brent Hood | Orthopaedic Surgery | 2207 Osborne Dr W, Suite #100, Hastings, NE 68901-9112 | 2006-07-04 |
| 1467480152 | Kenneth S Merriman II | Orthopaedic Surgery | 840 Cook Rd, Hastings, MI 49058-9616 | 2006-06-29 |
| 1376587824 | Gary L. Chingren | Orthopaedic Surgery | 2207 Osborne Dr W, Suite 100, Hastings, NE 68901-9112 | 2006-06-15 |
| 1003858473 | Hastings Orthopaedics & Sports Medicine Specialists PC | Orthopaedic Surgery | 2207 Osborne Dr W, Suite 100, Hastings, NE 68901-9112 | 2006-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053955385 | Summit Orthopedics Ltd | Orthopaedic Surgery | 4360 12th Ave E, Shakopee, MN 55379-1955 | 2019-10-30 |
| 1639631526 | Multiple Care of Mn, LLC | Orthopaedic Surgery | 8500 Normandale Lake Blvd Ste 350, Bloomington, MN 55437-3805 | 2019-04-01 |
| 1073933719 | Nicholas Adam Lesmeister | Orthopaedic Surgery | 2014 South 6th Street, Brainerd, MN 56401 | 2014-04-21 |
| 1477971174 | Thomas Jay Kaiser | Orthopaedic Surgery | 35 State Ave Ste 1, Faribault, MN 55021-6369 | 2014-03-31 |
| 1073876876 | Daniel Borgen | Orthopaedic Surgery | 1811 Pennsylvania Ave N, Golden Valley, MN 55427-4015 | 2012-06-18 |
| 1194019729 | John Allen Wilson Jr. | Orthopaedic Surgery | 7327 Rogers Point Rd Nw, Walker, MN 56484-2523 | 2011-05-31 |
| 1952693749 | Kurt Joseph Duncan | Orthopaedic Surgery | 8650 Hudson Blvd N Ste 100, Lake Elmo, MN 55042-8416 | 2011-05-11 |
| 1407155054 | Paul T. Wicklund, M.d., P.a. | Orthopaedic Surgery | 6545 France Ave S Ste 363, Edina, MN 55435-2121 | 2011-03-22 |
| 1861712861 | Wayne William Thompson | Orthopaedic Surgery | 1651 Saunders Ave, Saint Paul, MN 55116-2430 | 2010-06-02 |
| 1124357512 | William Jarvis Busby | Orthopaedic Surgery | 501 Holly Cir, Wayzata, MN 55391-1369 | 2009-12-14 |
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| 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.