DR. RICHARD T PERRY (NPI# 1467414052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467414052 |
| Entity Type | Individual |
| Full Name | DR. RICHARD T PERRY |
| Credential | MD |
| Practice Address |
23829 Little Mack Ave Suite 100 Saint Clair Shores MI 48080-1186 |
| Practice Telephone | 5867731300 |
| Practice Fax Number | 5867731600 |
| Mailing Telephone | 5867731300 |
| Mailing Fax Number | 5867731600 |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2012-11-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
RP066358 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 3164704 | 05 | |
| MI | MCARE | C4762 | 01 |
| MI | BLUE CROSS BLUE SHIELD | 0821872 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548443765 | Richard Perry | Massage Therapist | 5374 Jenny Cir, Milton, FL 32571-2840 | 2007-12-11 |
| 1538383930 | Richard Perry | Psychiatry & Neurology | 55 W 74th St, New York, New York, NY 10023-2429 | 2007-04-13 |
| 1861515520 | Richard Paul Perry | Chiropractor | 14566 7th St, Victorville, CA 92395-4214 | 2007-04-09 |
| 1922150424 | Richard Curtis Perry | Pharmacist | 2783 S State St, S Salt Lake, UT 84115-3634 | 2007-01-17 |
| 1689735649 | Richard Warren Perry | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1107 Shipwatch Cir, Tampa, FL 33602-5721 | 2006-12-13 |
| 1457369985 | Richard M Perry | Family Medicine | 21 Alpine St, Coldspring, TX 77331-8058 | 2006-08-03 |
| 1710930805 | Richard Grover Perry | Emergency Medicine | 233 E Alder St Ste A, Oakland, MD 21550-1513 | 2006-05-18 |
| 1871562645 | Richard Clark Perry | Internal Medicine | 8205 E 56th Street, Suite 100, Indianapolis, IN 46216 | 2006-03-15 |
| 1205827276 | Richard Palese Perry | Dentist | 816 S Oak Park Ave, Oak Park, IL 60304-1238 | 2005-10-31 |
| 1134579709 | Richard Lane Perry | Internal Medicine | 1120 15th St, Augusta, GA 30912-3457 | 2016-06-15 |
| Street Address |
23829 LITTLE MACK AVE SUITE 100 |
| City | SAINT CLAIR SHORES |
| State | MI |
| Zip Code | 48080-1186 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215999339 | Christopher N Zingas | Orthopaedic Surgery | 23829 Little Mack Ave, Suite 100, Saint Clair Shores, MI 48080-1186 | 2006-04-04 |
| 1831365477 | Mark Andrew Bergin | Orthopaedic Surgery | 23829 Little Mack Ave, Suite 100, Saint Clair Shores, MI 48080-1186 | 2008-05-04 |
| 1508039579 | Wright & Filippis, Inc. | Durable Medical Equipment & Medical Supplies | 23829 Little Mack Ave, Suite 400, Saint Clair Shores, MI 48080-1113 | 2008-04-10 |
| 1366629362 | Wright & Filippis, Inc. | Durable Medical Equipment & Medical Supplies | 23829 Little Mack Ave, Suite 400, Saint Clair Shores, MI 48080-1186 | 2008-01-22 |
| 1760694533 | Matthew J Schramski | Orthopaedic Surgery | 23829 Little Mack Ave, Suite 100, Saint Clair Shores, MI 48080-1186 | 2007-05-04 |
| 1457416406 | Damon O Collier | Physical Therapist | 23829 Little Mack Ave, Suite 100, Saint Clair Shores, MI 48080-1186 | 2006-12-27 |
| 1992742753 | Jean A Edmondson | Nurse Practitioner | 23829 Little Mack Ave, Suite 100, Saint Clair Shores, MI 48080-1186 | 2006-06-01 |
| 1295781540 | Linda Mcparlan | Nurse Practitioner | 23829 Little Mack Ave, Suite 100, Saint Clair Shores, MI 48080-1186 | 2006-05-26 |
| 1366406548 | Nicholas J Schoch | Orthopaedic Surgery | 23829 Little Mack Ave, Suite 100, Saint Clair Shores, MI 48080-1186 | 2006-04-14 |
| 1679536023 | Christopher L Lee | Orthopaedic Surgery | 23829 Little Mack Ave, Suite 100, Saint Clair Shores, MI 48080-1186 | 2006-04-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508482084 | Farrah Aleema Rajab | Family Medicine | 24911 Little Mack Avenue, Suite C, St. Clair Shores, MI 48080 | 2020-06-22 |
| 1558986141 | Julia Anastazja Krakowska | Family Medicine | 24911 Little Mack, Suite C, St. Clair Shores, MI 48080 | 2020-06-10 |
| 1972073567 | Joyce Stepnak | Social Worker | 19611 E. 8 Mile Rd, Scs, MI 48080 | 2018-11-27 |
| 1487134177 | Bonnie Girson | Social Worker | 23409 Jefferson Ave Ste 100, Saint Clair Shores, MI 48080 | 2018-08-21 |
| 1609309913 | Park Pharmacy Scs LLC | Pharmacy | 20225 E 9 Mile Rd Ste 120a, Saint Clair Shores, MI 48080 | 2017-04-05 |
| 1730564055 | Mary Rose Giroux | Psychologist | 22516 Overlake St, St. Clair Shores, MI 48080 | 2015-07-28 |
| 1962882910 | Ali Tarif Bazzy | Family Medicine | 20225 E 9 Mile Rd Ste A, Saint Clair Shores, MI 48080 | 2015-06-04 |
| 1497156228 | Kelly Zalewski | Social Worker | 24631 Jefferson Ave, Saint Clair Shores, MI 48080 | 2014-09-11 |
| 1669871364 | Mallory Margret Gordon | Psychologist | 19900 E. 10 Mile Rd., Ste. 102, Saint Clair Shores, MI 48080 | 2014-08-19 |
| 1932549375 | Alexander Peter Bill | Otolaryngology | 22631 Greater Mack Ave Ste 200, Saint Clair Shores, MI 48080 | 2013-06-30 |
| Find all providers in zip 48080 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821472861 | Oakland University | Orthopaedic Surgery | 201 Athletics Ctr, Rochester, MI 48309 | 2015-07-18 |
| 1689871576 | Stacy Ann Frye | Orthopaedic Surgery | 3960 Patient Care Dr Ste 113, Lansing, MI 48911-4279 | 2007-07-02 |
| 1215075106 | Carl Henry Wierks | Orthopaedic Surgery | 1000 E Paris Ave Se Ste 215, Grand Rapids, MI 49546-3680 | 2007-02-02 |
| 1003909524 | Mfb Professional Services Inc | Orthopaedic Surgery | 1155 E. Paris, Ste 200, Grand Rapids, MI 49546 | 2006-10-02 |
| 1598878266 | Abdallah Simaika | Orthopaedic Surgery | 2797 Applegate Rd, Po Box 55, Applegate, MI 48401-9752 | 2006-08-16 |
| 1689662405 | Richard M Howell | Orthopaedic Surgery | 370 N 120th Ave, Holland, MI 49424-2196 | 2005-10-06 |
| 1235121138 | Steven T Plomaritis | Orthopaedic Surgery | 28001 Schoenherr Rd, Suite 3, Warren, MI 48088-4396 | 2005-08-17 |
| 1457961716 | Justin Michael Schupbach | Orthopaedic Surgery | 24 Frank Lloyd Wright Dr Lbby A, Ann Arbor, MI 48105-9484 | 2020-08-03 |
| 1053945923 | Pure Performance Orthopedics & Sports Medicine | Orthopaedic Surgery | 27207 Lahser Rd Ste 108, Southfield, MI 48034-2168 | 2020-02-28 |
| 1396377131 | Msu Health Care Inc. | Orthopaedic Surgery | 4660 S Hagadorn Rd Ste 420, East Lansing, MI 48823-5353 | 2020-02-10 |
| Find all providers with the same taxonomy | ||||
| City | SAINT CLAIR SHORES |
| Zip Code | 48080 |
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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.