ANGEL LUIS PEREZ (NPI# 1871608844) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871608844 |
| Entity Type | Individual |
| Full Name | ANGEL LUIS PEREZ |
| Credential | PA-C |
| Practice Address |
1001 Blythe Blvd Ste 300 Charlotte NC 28203-5863 |
| Mailing Address |
Po Box 60122 Charlotte NC 28260-0122 |
| Practice Telephone | 7043730212 |
| Practice Fax Number | 7043721249 |
| Mailing Telephone | 7043730212 |
| Mailing Fax Number | 7043721249 |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2012-06-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
101693 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 0195PA | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669934535 | Angel Ika Perez | Behavior Technician | 68305 Verano Rd, Cathedral City, CA 92234-6225 | 2019-04-01 |
| 1649798653 | Angel Luis Perez | Nurse Practitioner | 3041 Sw 47 Street, Fort Lauderdale, FL 33312 | 2017-08-30 |
| 1134541139 | Angel Joel Perez | Psychologist | Carr 159 # Km18.4, Corozal, PR 00783-2903 | 2014-01-09 |
| 1972745297 | Angel Luis Perez | Pediatrics | 53 Ave Barbosa, Arecibo, PR 00612-4329 | 2009-04-01 |
| 1669665162 | Angel S. Perez | Psychiatry & Neurology | 2121 Pease St Ste 1d, Harlingen, TX 78550-8340 | 2007-08-20 |
| 1740316827 | Angel Luis Perez | Pediatrics | Ave. Barbosa #62, Arecibo, PR 00612-4378 | 2007-02-26 |
| 1477654440 | Angel Guillen Perez | Family Medicine | 1721 N Wilmington Blvd, Wilmington, CA 90744-1261 | 2006-09-25 |
| 1568408797 | Angel Perez | Internal Medicine | Edificio Medico Pedro Blanco Lugo, Torre Medica Oficina 314 Dr Center Hospital, Manati, PR 00674-0000 | 2006-06-22 |
| 1477541662 | Angel Perez Jr. | Internal Medicine | 15055 East Fwy Ste B60, Channelview, TX 77530-4192 | 2005-10-11 |
| 1760983845 | Angel Perez | Technician | 5020 Alta Dr Ste B, Las Vegas, NV 89107-3940 | 2018-02-23 |
| Street Address |
1001 BLYTHE BLVD STE 300 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28203-5863 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023029485 | Joseph William Cook | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1001 Blythe Blvd Ste 300, Charlotte, NC 28203-5863 | 2006-08-11 |
| 1962015826 | Tiffany Budroe | Registered Nurse | 1001 Blythe Blvd Ste 300, Charlotte, NC 28203-5863 | 2020-08-28 |
| 1366956229 | Brian Boyle | Physician Assistant | 1001 Blythe Blvd Ste 300, Charlotte, NC 28203-5863 | 2017-11-29 |
| 1912073743 | The Sanger Clinic Pa | Dietitian, Registered | 1001 Blythe Blvd Ste 300, Charlotte, NC 28203-5863 | 2006-11-24 |
| 1235247297 | Marilyn Burton Kowalchuk | Dietitian, Registered | 1001 Blythe Blvd Ste 300, Charlotte, NC 28203-5863 | 2006-08-29 |
| 1114034527 | Sherrie Rackley Webb | Physician Assistant | 1001 Blythe Blvd Ste 300, Charlotte, NC 28203-5863 | 2006-08-23 |
| 1306950076 | Larry Dean Nelson | Physician Assistant | 1001 Blythe Blvd Ste 300, Charlotte, NC 28203-5863 | 2006-08-18 |
| 1679586895 | Charles Alison Simonton IIi | Internal Medicine | 1001 Blythe Blvd Ste 300, Charlotte, NC 28203-5863 | 2006-08-15 |
| 1942213020 | Francis Robicsek | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1001 Blythe Blvd Ste 300, Charlotte, NC 28203-5863 | 2006-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982225983 | William Bedard Michel | Emergency Medicine | Carolina Medical Center, 1000 Blythe Blvd, Charlotte, NC 28203 | 2020-04-30 |
| 1922636927 | Paulina M Kriska | Dentist | Cmc Dental Clinic, 1000 Blythe Blvd, Charlotte, NC 28203 | 2020-03-27 |
| 1386271930 | Irina Maria Geiculescu | Pediatrics | 1000 Blythe Blvd Fl 4 Meb, Charlotte, NC 28203 | 2020-03-24 |
| 1205499316 | James C Winnek | Counselor | 1713 East Blvd., Charlotte, NC 28203 | 2019-04-16 |
| 1487114492 | Laurie Fford Counseling and Consulting Pllc | Counselor | 125 Remount Rd, Suite C-#391, Charlotte, NC 28203 | 2019-03-25 |
| 1184188815 | Sunday Money | Home Health | 2151 Hawkins St., Suite 201, Charlotte, NC 28203 | 2019-01-28 |
| 1164902706 | Lindsay Koonce Helton | Dietitian, Registered | 1218 East Blvd Ste G, Charlotte, NC 28203 | 2018-08-14 |
| 1376057406 | Veritas Collaborative Charlotte, LLC | Clinic/Center | 1900 Scott Avenue, Suite 101, Charlotte, NC 28203 | 2017-11-28 |
| 1043733306 | Kimberly Stripp | Pharmacist | 1300-b East Blvd, Charlotte, NC 28203 | 2017-07-19 |
| 1427570639 | Caroline Kaleel Fogleman | Optometrist | 1710 Kenilworth Ave Ste 210, Charlotte, NC 28203 | 2017-07-10 |
| Find all providers in zip 28203 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316411713 | Nicole Alyse Zbiciak | Physician Assistant | 325 Hawthorne Ln Ste 300, Charlotte, NC 28204-2536 | 2019-01-18 |
| 1588060412 | Jessica Fowler Michalak | Physician Assistant | 2104 Randolph Rd, Charlotte, NC 28207-1522 | 2014-11-04 |
| 1396154209 | Kayla Lacci | Physician Assistant | 1025 Morehead Medical Dr, Ste 300, Charlotte, NC 28204-2963 | 2014-08-05 |
| 1457794125 | Lauren S Jones | Physician Assistant | 225 Baldwin Ave, Charlotte, NC 28204-3109 | 2013-04-12 |
| 1073879060 | Michael A Marconi | Physician Assistant | 3541 Randolph Road, Suite 210, Charlotte, NC 28211-2886 | 2012-04-04 |
| 1912284266 | Sapnil D Patel | Physician Assistant | 225 Baldwin Ave, Charlotte, NC 28204-3109 | 2011-11-14 |
| 1215222310 | Angela Marie Darket | Physician Assistant | 225 Baldwin Ave, Charlotte, NC 28204-3109 | 2011-06-16 |
| 1164730487 | Kristin Kathleen Teague | Physician Assistant | 200 Hawthorne Ln, Charlotte, NC 28204-2515 | 2010-09-21 |
| 1700110814 | Rachelle M. Eiden | Physician Assistant | 10512 Park Rd, Suite 101, Charlotte, NC 28210-8475 | 2009-09-22 |
| 1588849327 | Orthocarolina | Physician Assistant | 4601 Park Rd, Suite 300, Charlotte, NC 28209-3239 | 2007-12-28 |
| Find all providers in CHARLOTTE | ||||
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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.