DR. PAUL R PERREAULT (NPI# 1487759270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487759270 |
| Entity Type | Individual |
| Full Name | DR. PAUL R PERREAULT |
| Credential | MD |
| Practice Address |
2497 State Highway 30 Mayfield NY 12117-3495 |
| Mailing Address |
99 E State St Po Box 1250 Gloversville NY 12078-1203 |
| Practice Telephone | 5186615441 |
| Practice Fax Number | 5186615452 |
| Mailing Telephone | 5186615441 |
| Mailing Fax Number | 5186615452 |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2015-01-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 181806 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01181933 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386796225 | Paul Andrew Perreault | Chiropractor | 499 Stevens Ave, Portland, ME 04103-2678 | 2007-01-18 |
| Street Address |
2497 STATE HIGHWAY 30 |
| City | MAYFIELD |
| State | NY |
| Zip Code | 12117-3495 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437569746 | Michael S Parslow | Family Medicine | 2497 State Highway 30, Mayfield, NY 12117-3495 | 2014-05-08 |
| 1760726921 | Sarah Jean Hand | Physician Assistant | 2497 State Highway 30, Mayfield, NY 12117-3495 | 2012-11-12 |
| 1598010530 | Walid Hanafi | Pediatrics | 2497 State Highway 30, Mayfield, NY 12117-3495 | 2012-07-16 |
| 1306139332 | Michael W Purcell | Pediatrics | 2497 State Highway 30, Mayfield, NY 12117-3495 | 2011-05-24 |
| 1184732539 | Kelly A Viscosi | Physician Assistant | 2497 State Highway 30, Mayfield, NY 12117-4020 | 2006-08-27 |
| 1760414692 | Robert A Brandis | Internal Medicine | 2497 State Highway 30, Mayfield, NY 12117-4020 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861843252 | Amy Brower | Physical Therapist | 156 Berry Road, Mayfield, NY 12117 | 2016-06-27 |
| 1528369675 | Jean M. Gustafson | Physical Therapist | 80 North Main Street, Mayfield Elementary School, Mayfield, NY 12117 | 2010-11-05 |
| 1740319375 | Mayfield Family & Cosmetic Dentistry LLC | Clinic/Center | 2540 State Highway 30, Mayfield, NY 12117 | 2007-03-02 |
| 1245516483 | Dale Evon Hults | Physical Therapist | 81 North Main St., Mayfield, NY 12117 | 2011-11-02 |
| 1164551792 | William Michael Hassan | Dentist | 2540 State Highway 30, Mayfield, NY 12117 | 2007-03-02 |
| 1619020492 | Mayfield Central School District | Local Education Agency (LEA) | 27 School St, Mayfield, NY 12117-3452 | 2007-01-18 |
| 1124349360 | Janine Kilpatrick | Registered Nurse | 27 School St, Mayfield, NY 12117-3452 | 2010-06-22 |
| 1174843288 | Lori Lee Bumpus | Physical Therapist | 27 School St, Mayfield, NY 12117-3452 | 2010-06-11 |
| 1265752372 | Gwendolyn Sue Mucica | Occupational Therapist | 27 School St, Mayfield, NY 12117-3452 | 2010-06-11 |
| 1962722074 | Amelia S Feerick | Occupational Therapy Assistant | 27 School St, Mayfield, NY 12117-3452 | 2010-06-11 |
| Find all providers in zip 12117 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417397076 | Thomas Blake Vincent | Family Medicine | 1253 Paris Rd # A, Mayfield, KY 42066-4989 | 2013-06-27 |
| 1679527923 | Kathryn J Glass | Family Medicine | 305 Golf Club Ln, Mayfield, KY 42066-1316 | 2006-05-20 |
| 1952304891 | Patricia Mary Williams | Family Medicine | 110 S 9th St, Mayfield, KY 42066-2208 | 2005-05-24 |
| 1710591656 | Williams Medical Practice LLC | Family Medicine | 110 S 9th St, Mayfield, KY 42066-2208 | 2020-09-08 |
| 1437569746 | Michael S Parslow | Family Medicine | 2497 State Highway 30, Mayfield, NY 12117-3495 | 2014-05-08 |
| 1508178336 | Richard Darren Stone | Family Medicine | 1029 Medical Center Cir, 200, Mayfield, KY 42066-1189 | 2010-07-09 |
| 1295960532 | Pinelake Physician Practice, LLC | Family Medicine | 1111 Medical Center Cir, Mayfield, KY 42066-1194 | 2009-05-15 |
| 1205079134 | Mayfield Pediatric Clinic Pllc | Family Medicine | 417 S 6th St, Mayfield, KY 42066 | 2009-04-07 |
| 1982845889 | Western Ky Family Health Care Inc | Family Medicine | 318 S 7th St, Mayfield, KY 42066-2337 | 2009-03-23 |
| 1457590945 | Randel C. Gibson, Do Psc | Family Medicine | 1029 Medical Center Cir, Suite 200, Mayfield, KY 42066-1189 | 2009-02-06 |
| Find all providers in MAYFIELD | ||||
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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.