LAURA PHYLLIS PERRY (NPI# 1912296799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912296799 |
Entity Type | Individual |
Full Name | LAURA PHYLLIS PERRY |
Other Name | LAURA PHYLLIS PERRY FERNANDEZ |
Credential | M.D. |
Practice Address |
490 Illinois St Fl 8 San Francisco CA 94158-2510 |
Practice Telephone | 4155143577 |
Practice Fax Number | 4155140702 |
Enumeration Date | 2011-04-01 |
Last Update Date | 2020-10-29 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
A150677 | CA | Allopathic & Osteopathic Physicians |
N | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
262749 | MA | Allopathic & Osteopathic Physicians |
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144836180 | Laura Marie Perry | Speech-Language Pathologist | 2073 Baker Hwy, Moore Haven, FL 33471-6445 | 2020-09-16 |
1417307240 | Laura Perry | Licensed Practical Nurse | 804 Pine St, Wyandotte, MI 48192-6246 | 2016-06-13 |
1023470960 | Laura J Perry | Counselor | 1707 North Main St, Family Medicine At Main, Gainesville, FL 32609 | 2016-03-21 |
1578999801 | Laura Rae Perry | Registered Nurse | 1213 N Water St, Manitowoc, WI 54220-3201 | 2013-09-18 |
1306279344 | Laura Jane Perry | Physical Therapist | 10390 Coloma Rd Ste 7, Rancho Cordova, CA 95670-2152 | 2013-08-13 |
1619025962 | Laura Christine Perry | Family Medicine | 12610 Des Moines Memorial Dr Ste 206, Seattle, WA 98168-2287 | 2007-01-05 |
1467070441 | Laura Marie Perry | Licensed Practical Nurse | 6460 Harrison Ave, Cincinnati, OH 45247-7957 | 2020-07-07 |
1356901169 | Laura Elizabeth Perry | Nurse Practitioner | 1314 19th Ave, Meridian, MS 39301-4116 | 2019-06-14 |
1891204624 | Laura Elizabeth Perry | Nurse Practitioner | 4021 Avenue B, Scottsbluff, NE 69361-4602 | 2017-09-25 |
1295183366 | Laura Briana Perry | Physical Therapist | 4950 Ne Belknap Ct Ste 107, Hillsboro, OR 97124-5114 | 2016-05-31 |
Street Address |
490 ILLINOIS ST FL 8 |
City | SAN FRANCISCO |
State | CA |
Zip Code | 94158-2510 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114532298 | Carla Stern | Occupational Therapist | 940 4th Street, San Francisco, CA 94158 | 2020-09-15 |
1386272771 | Olga Agnieszka Lannon | Registered Nurse | 701 China Basin Street, San Francisco, CA 94158 | 2020-03-31 |
1679110407 | Drew Yoder | Physical Medicine & Rehabilitation | Chase Center - Bbops, 1 Warriors Way, San Francisco, CA 94158 | 2019-11-27 |
1518448430 | Christine Caitlin-quinley Magdalin | Physical Therapist | 1600 Owens Street, 6th Floor, San Francisco, CA 94158 | 2018-08-28 |
1477050730 | Daniel Bradford Cary Woolridge | Student in an Organized Health Care Education/Training Program | 1975 Fourth St., San Francisco, CA 94158 | 2018-04-12 |
1992223069 | Ambili N Thannil | Nurse Practitioner | 550 16th Street 5th Floor, San Francisco, CA 94158 | 2017-09-08 |
1831637974 | Michele Brown Foster | Nurse Practitioner | 1975 Fourth Street, San Francisco, CA 94158 | 2017-02-09 |
1124487525 | Jennifer Waters | Occupational Therapist | 1975 4th Street, Box 4050, Rehab Services, San Francisco, CA 94158 | 2016-02-15 |
1598148173 | Gabriel Perez Schwartz | Registered Nurse | 1825 Fourth Street, Fourth Floor, San Francisco, CA 94158 | 2015-07-01 |
1235424086 | Fanny Mojdeh Elahi | Psychiatry & Neurology | 675 Nelson Rising Lane, Ucsf Memory and Aging, San Francisco, CA 94158 | 2011-06-09 |
Find all providers in zip 94158 |
Taxonomy Code | 207RG0300X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Geriatric Medicine |
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144616590 | Lindsey Merrihew Haddock | Internal Medicine | 4150 Clement St Bldg 1306b, San Francisco, CA 94121 | 2015-04-13 |
1912137951 | Michael J A Reid | Internal Medicine | Zuckerburg General Hospital, 1001 Protero Avenue, San Francisco, CA 94110 | 2009-07-24 |
1790904084 | Frank William Ryning | Internal Medicine | 1339 4th Ave, San Francisco, CA 94122-2615 | 2007-04-25 |
1952423931 | Richard M. Dennes | Internal Medicine | 285 Edgewood Ave, San Francisco, CA 94117-3714 | 2007-04-03 |
1497867469 | Frederick J. Fox | Internal Medicine | 4150 Clement St # 181g, Veterans Affairs Medical Center, San Francisco, CA 94121-1545 | 2006-08-31 |
1124134309 | Eric Walter Widera | Internal Medicine | 4150 Clement St # 181nh, San Francisco, CA 94121-1545 | 2006-08-21 |
1215968797 | Leslie P Kernisan | Internal Medicine | 554 Clayton St #170376, San Francisco, CA 94117-0376 | 2006-07-05 |
1477583029 | Kateri Murray | Internal Medicine | 1400 Geary Blvd, San Francisco, CA 94109-6561 | 2006-07-03 |
1851371744 | Rebecca Lynn Sudore | Internal Medicine | 4150 Clement Street, #181g, Ucsf-sfvamc, San Francisco, CA 94121 | 2006-01-18 |
1689652612 | Kathryn Lea Sewell | Internal Medicine | 1515 Baker St, San Francisco, CA 94115-2908 | 2006-01-09 |
Find all providers in SAN FRANCISCO |
City | SAN FRANCISCO |
Zip Code | 94158 |
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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.