BENJAMIN MERRILL PERRY


Address: 4664 N Penngrove Way Ste 100, Meridian, ID 83646-7442
Phone: 2088987467

BENJAMIN MERRILL PERRY (NPI# 1710325758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1710325758
Entity Type Individual
Full Name BENJAMIN MERRILL PERRY
Credential D.O.
Practice Address 4664 N Penngrove Way Ste 100
Meridian
ID 83646-7442
Practice Telephone 2088987467
Practice Fax Number 2083982120
Mailing Telephone 2088987467
Mailing Fax Number 2083982120
Enumeration Date 2013-06-12
Last Update Date 2020-10-01
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207N00000X Dermatology O1145 ID Allopathic & Osteopathic Physicians
N 207N00000X Dermatology DO168846 OR Allopathic & Osteopathic Physicians
N 207ND0101X Dermatology
Specialization: MOHS-Micrographic Surgery
O1145 ID Allopathic & Osteopathic Physicians
N 208D00000X General Practice PG163364 OR Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
1793 13th St Se, Salem, OR 97302 5033628385 5033628435
1576 W Deer Crest Dr Ste 100, Meridian, ID 836464643 0000000000

Other Providers BENJAMIN PERRY

NPI Name Taxonomy Address Enumeration
1396951885 Benjamin Christopher Perry Dentist 8703 East Brainerd Road, Chattanooga, TN 37421 2007-05-14
1134531619 Benjamin Matthew Perry Counselor 3763 Evans Ave, Fort Myers, FL 33901-9302 2014-06-02
1386937431 Benjamin Franklin Perry II Family Medicine 2201 Macarthur Dr, Suite 100, Waco, TX 76708-3161 2011-05-24
1235115734 Benjamin Allan Perry Internal Medicine 601 John St, Suite M230, Kalamazoo, MI 49007-5341 2005-12-16

Office Location

Street Address 4664 N PENNGROVE WAY STE 100
City MERIDIAN
State ID
Zip Code 83646-7442

Providers in the same location

NPI Name Taxonomy Address Enumeration
1265795660 Richard Scott Thomas Dermatology 4664 N Penngrove Way Ste 100, Meridian, ID 83646-7442 2012-06-20
1659827665 Mountain Pine Dermatology, Pllc Dermatology 4664 N Penngrove Way Ste 100, Meridian, ID 83646-7442 2016-08-30
1043659196 Chelsea Miller Physician Assistant 4664 N Penngrove Way Ste 100, Meridian, ID 83646-7442 2013-06-21

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982202743 Jayson Paul Smith Nurse Practitioner 1545 East Leighfield Dr., Meridian, ID 83646 2020-10-14
1356977466 Tanabell Health Services Inc Assisted Living Facility 2584 E Magic View Dr, Meridian, ID 83646 2020-03-20
1801351176 Tanabell Health Services, Inc. Skilled Nursing Facility 2656 E Magicview Dr, Meridian, ID 83646 2019-01-31
1306314323 Cr Smiles - Meridian Dental Care LLC Clinic/Center 1500 W Cayuse Creek Dr, #100, Meridian, ID 83646 2018-11-07
1639644107 Joseph Anomalay Counselor 6700 N. Linder Rd, Ste 156 #257, Meridian, ID 83646 2018-10-10
1275015950 Mcmillan Family Dental Pllc Clinic/Center 1720 W. Mcmillan, Meridian, ID 83646 2018-08-30
1609327022 Finding Home Healthcare, Inc. Clinic/Center 55 W Willowbrook Dr Ste 103, Meridian, ID 83646 2016-10-20
1952857161 Mitchell Truong Pharmacist 622 E. Ustick Road, Caldwell, ID 83646 2016-08-28
1134511264 Brittany Laub Massage Therapist 2572 N Stokesberry Pl #300, Meridian, ID 83646 2015-02-26
1194117366 Westfall Ventures, Inc Health Maintenance Organization 2572 N. Stokesberry Pl, Meridian, ID 83646 2015-02-25
Find all providers in zip 83646

Taxonomy Information

Taxonomy Code 207N00000X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology

Taxonomy Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427460849 Anna Allred Wile Dermatology 4331 Highway 39 N Ste A, Meridian, MS 39301-1007 2014-05-21
1265795660 Richard Scott Thomas Dermatology 4664 N Penngrove Way Ste 100, Meridian, ID 83646-7442 2012-06-20
1295022861 Kenneth Daniel Saul Dermatology 5002 Highway 39 N Bldg A, Meridian, MS 39301-1078 2011-07-05
1871798447 Lawrence Benjamin Mceachin Dermatology 3827 Grandview Ave, Meridian, MS 39305 2007-06-15
1831229871 Alisa Funke Dermatology 1618 Millennium Way, Suite 100, Meridian, ID 83642-6457 2007-03-07
1013054667 Dermatology Center of Meridian Pa Dermatology 4612 29th Ave, Meridian, MS 39305-1652 2007-01-31
1972653566 Naomi Beth Brooks Dermatology 3109 S Meridian Rd, Meridian, ID 83642-7088 2007-01-12
1285245423 Dermatology & Skin Cancer Center Pllc Dermatology 4612 29th Ave, Meridian, MS 39305-1652 2020-08-12
1598374258 Dermatology and Skin Cancer Center Pllc Dermatology 4612 29th Ave, Meridian, MS 39305-1652 2020-07-29
1417495615 Boise Dermatology Dermatology 3109 S Meridian Rd, Meridian, ID 83642-7088 2017-02-07
Find all providers in MERIDIAN

Competitor

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City MERIDIAN
Zip Code 83646

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Dataset Information

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.

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