LAURENCE E PERRIN MD FACOG (NPI# 1457496515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457496515 |
| Entity Type | Organization |
| Organization Name | LAURENCE E PERRIN MD FACOG |
| Practice Address |
128 Lilly Rd Ne Suite 205 Olympia WA 98506-5029 |
| Practice Telephone | 3607543380 |
| Practice Fax Number | 3602367929 |
| Mailing Telephone | 3607543380 |
| Mailing Fax Number | 3602367929 |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. LAURENCE E PERRIN (OWNER) |
| Authorized Official Telephone | 3607543380 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | MD00020730 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1095413 | 05 |
| Street Address |
128 LILLY RD NE SUITE 205 |
| City | OLYMPIA |
| State | WA |
| Zip Code | 98506-5029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174637599 | Michael R Ellen Md Ps | Urology | 128 Lilly Rd Ne, Suite 205, Olympia, WA 98506-5029 | 2006-08-19 |
| 1114347663 | Christy Huynh | Audiologist | 128 Lilly Rd Ne, Suite 202, Olympia, WA 98506-7400 | 2014-04-23 |
| 1013357730 | Pnw Anesthesia Services Pllc | Anesthesiology | 128 Lilly Rd Ne, Olympia, WA 98506-7400 | 2013-06-26 |
| 1366783300 | Wendy Marie Baggott | Audiologist | 128 Lilly Rd Ne, Suite 202, Olympia, WA 98506-7400 | 2013-03-14 |
| 1558680819 | Barton Wright Coppin | Dentist | 128 Lilly Rd Ne, Suite 105, Olympia, WA 98506-7400 | 2010-05-26 |
| 1770814667 | Lindsay Devries | Audiologist | 128 Lilly Rd Ne, Suite 202, Olympia, WA 98506-7400 | 2010-01-17 |
| 1891946257 | Olympia Neurology, Pllc | Clinic/Center | 128 Lilly Rd Ne, Suite 101, Olympia, WA 98506-7400 | 2008-10-03 |
| 1558577627 | Sung-won Kim | Otolaryngology | 128 Lilly Rd Ne, 202, Olympia, WA 98506-7400 | 2007-05-15 |
| 1346360484 | Kelley Ann Powers | Audiologist | 128 Lilly Rd Ne, Suite #202, Olympia, WA 98506-7400 | 2007-03-30 |
| 1568566701 | Jeffrey L Hall | Audiologist | 128 Lilly Rd Ne, Olympia, WA 98506 | 2006-09-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477185460 | Chloe Harper | Technician, Other | 3443 Lilly Rd Se, Ste B, Olympia, WA 98506 | 2020-02-07 |
| 1912543539 | Jessica Marie Radakovich | Licensed Practical Nurse | 3426 Mary Elder Rd, Olympia, WA 98506 | 2019-11-19 |
| 1669014973 | Arlene Josephine Adams | Registered Nurse | 413 Lily Rd Ne, Olympia, WA 98506 | 2019-10-09 |
| 1861999120 | Debra Delores Barker | Licensed Practical Nurse | 3710 South Bay Rd Ne, Olympia, WA 98506 | 2018-04-12 |
| 1801304431 | Michelle Warner | Nurse Practitioner | 205 Lilly Rd Ne Ste A1, Olympia, WA 98506 | 2018-01-17 |
| 1396258364 | Institute for Family Development | Community/Behavioral Health | 204 Quince St. Ne, Suite 200, Olympia, WA 98506 | 2017-11-13 |
| 1083137715 | Cameron Kunkel | Specialist/Technologist | 2512 20th Ave Ne, Olympia, WA 98506 | 2017-07-25 |
| 1184144768 | Trevor Shane Kwan | Family Medicine | 525 Lilly Road Ne, Olympia, WA 98506 | 2017-06-23 |
| 1073043212 | Michael H Harburg | Behavior Technician | 3857 Martin Way Ne, Olympia, WA 98506 | 2017-06-19 |
| 1780114371 | Priscilla Kangyang Jadu | Counselor | 3857 Martin Way E., Olympia, WA 98506 | 2017-06-15 |
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| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336474816 | Curtis John Edwards | Surgery | 4310 Foxhall Dr Ne, Olympia, WA 98516-1105 | 2009-10-16 |
| 1083762546 | Louis Gevirtzman | Surgery | 2540 Wedgewood Ct Se, Olympia, WA 98501-3855 | 2007-01-08 |
| 1003978644 | Robert D. Kugel | Surgery | 205 Lilly Rd Ne Ste D, Olympia, WA 98506-5069 | 2006-12-13 |
| 1710094156 | Laurence E Perrin | Surgery | 406 Black Hills Ln Sw Ste C, Olympia, WA 98502-8144 | 2006-08-23 |
| 1477569150 | Sheila G Fay | Surgery | 525 Lily Rd Ne, Olympia, WA 98506 | 2006-08-01 |
| 1659315810 | David Fj Tollefson | Surgery | 3920 Capitol Mall Dr Sw Ste 302, Olympia, WA 98502-8701 | 2006-06-16 |
| 1063454155 | Robert Sander Hipp | Surgery | 3920 Capitol Mall Dr, Suite 302, Olympia, WA 98502 | 2006-06-12 |
| 1275522450 | Todd A Woltman | Surgery | 3920 Capital Mall Dr Sw Ste 201, Olympia, WA 98502-8702 | 2005-10-19 |
| 1427397462 | Samuel Jacob Michel | Surgery | 3610 Ensign Rd Ne, Olympia, WA 98506-5025 | 2013-02-12 |
| 1033430053 | Monica Young | Surgery | 3920 Capital Mall Dr Sw Ste 201, Olympia, WA 98502-8702 | 2010-06-14 |
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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.