BUENAVENTURA CARMEN PEREYRA (NPI# 1992884332) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992884332 |
| Entity Type | Individual |
| Full Name | BUENAVENTURA CARMEN PEREYRA |
| Credential | M.D |
| Practice Address |
4433 Byron Center Ave Sw Pediatrics Primary Care Wyoming MI 49519-4844 |
| Practice Telephone | 6465094511 |
| Practice Fax Number | 6165302854 |
| Mailing Telephone | 6465094511 |
| Enumeration Date | 2006-11-05 |
| Last Update Date | 2008-03-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 5851 | PR | Other Service Providers |
| Street Address |
4433 BYRON CENTER AVE SW PEDIATRICS PRIMARY CARE |
| City | WYOMING |
| State | MI |
| Zip Code | 49519-4844 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093327355 | Elise Trim | Social Worker | 4433 Byron Center Ave Sw, Wyoming, MI 49519-4844 | 2020-08-18 |
| 1194997825 | Pediatrics Primary Care Pllc | Clinic/Center | 4433 Byron Center Ave Sw, Pediatrics Primary Care, Wyoming, MI 49519 | 2008-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609364009 | Alexandra K Hylen | Dentist | 4489 Byron Center Ave Sw Ste A, Wyoming, MI 49519 | 2018-05-01 |
| 1962925685 | Nicole Lee Kolasa | Rehabilitation Counselor | 2038 Melvin St. Sw, Wyoming, MI 49519 | 2017-07-25 |
| 1720534472 | Michael Ash | Rehabilitation Practitioner | 1870 36th Street, Wyoming, MI 49519 | 2016-08-31 |
| 1891248993 | Kayleigh Saucier | Family Medicine | 5900 Byron Center Avenue Se, Wyoming, MI 49519 | 2016-07-26 |
| 1093112799 | Wmro LLC | Radiology | 5950 Metro Way, Wyoming, MI 49519 | 2014-11-24 |
| 1033547658 | Maranda Catherine Gary | Nurse Practitioner | 2122 Health Drive, Wyoming, MI 49519 | 2013-10-16 |
| 1144657800 | Diana Ro | Psychologist | 4211 Parkway Place Sw, #100, Wyoming, MI 49519 | 2013-09-26 |
| 1386077873 | Lindsey Elizabeth Chorney | Nurse Practitioner | 2122 Health Drive Sw, Suite 133, Wyoming, MI 49519 | 2013-08-20 |
| 1124377163 | Vision and Sensory Center of Michigan LLC | Optometrist | 4467 Byron Center Ave., Wyoming, MI 49519 | 2012-09-06 |
| 1881940203 | Judah | Durable Medical Equipment & Medical Supplies | 2975 Waterchase Way Sw Suite 307, Wyoming, MI 49519 | 2012-08-03 |
| Find all providers in zip 49519 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891988499 | Rebecca Lynn Sing | Specialist | 2121 Cypress St Sw, Wyoming, MI 49519-3614 | 2007-08-27 |
| 1043358187 | Washington County Physical Therapy | Specialist | 12 Stilson Rd, Wyoming, RI 02898-0064 | 2007-02-01 |
| 1982694667 | Renee J Elderkin | Specialist | 2221 Health Dr Sw Ste 2100, Wyoming, MI 49519-9650 | 2005-10-25 |
| 1952301038 | Larry Jose Diaz | Specialist | 2122 Health Dr Sw, Wyoming, MI 49519-9698 | 2005-07-29 |
| 1346587805 | Fairview Express Care | Specialist | 5200 Fairview Blvd, Wyoming, MN 55092-8013 | 2013-01-03 |
| 1336259746 | Lakes Orthopaedic Specialists P.a. | Specialist | 5200 Fairview Blvd, Wyoming, MN 55092-8013 | 2006-08-30 |
| 1609896034 | Jack A Dekkinga Md PC | Specialist | 2660 44th St Sw Ste 100, Wyoming, MI 49519-6836 | 2006-07-20 |
| 1639123235 | Yasmeen Ahmad | Specialist | 2122 Health Dr Sw, Wyoming, MI 49519-9698 | 2006-05-19 |
| 1043201551 | Susan K Hicks | Specialist | 2221 Health Dr Sw Ste 2100, Wyoming, MI 49519 | 2005-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619574118 | Gada Santos | Specialist | 10786 Pine St, Taylor, MI 48180-3440 | 2020-10-07 |
| 1750995361 | Advanced Spinal Reconstruction Pllc | Specialist | 972 Chesterfield Ave, Birmingham, MI 48009-1223 | 2020-09-01 |
| 1477176949 | Kimberly Buskirk | Specialist | 1131 Ionia Ava Nw, Grand Rapids, MI 49503 | 2020-05-19 |
| 1235765827 | Magic Touch Salon | Specialist | 746 Burton St Se, Grand Rapids, MI 49507-3204 | 2020-03-16 |
| 1144865411 | Yasmeen Global Beauty Group | Specialist | 21701 W 11 Mile Rd Ste 7, Southfield, MI 48076-3713 | 2019-11-11 |
| 1255990552 | Kboose | Specialist | 3008 Juneberry Ave Se, Grand Rapids, MI 49508-1523 | 2019-06-10 |
| 1124685789 | Grooming Arts Lounge and Gallery | Specialist | 19520 Dorset St, Southfield, MI 48075-7112 | 2019-05-20 |
| 1144787326 | At Home Physician Management Group Co. | Specialist | 27440 Hoover Rd Ste C, Warren, MI 48093-7726 | 2019-02-25 |
| 1821561200 | Bailee J Moffitt | Specialist | 913 W Holmes Rd Unit 200, Lansing, MI 48910-0426 | 2019-01-08 |
| 1871064808 | Shanna E Cook | Specialist | 20843 Garden Ln, Ferndale, MI 48220-2217 | 2018-12-17 |
| Find all providers with the same taxonomy | ||||
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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.