EDWIN PEREZ JR. (NPI# 1033516521) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033516521 |
| Entity Type | Individual |
| Full Name | EDWIN PEREZ JR. |
| Practice Address |
1015 S Broadway Suite 18 Minot ND 58701-4667 |
| Practice Telephone | 7018578500 |
| Practice Fax Number | 7018578555 |
| Mailing Telephone | 7018578500 |
| Mailing Fax Number | 7018578555 |
| Enumeration Date | 2014-11-26 |
| Last Update Date | 2014-11-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922405539 | Edwin Geordy Perez | General Practice | C/4 A-17, Urb. Santa Paula, Guaynabo, PR 00969-4606 | 2014-11-25 |
| 1811313794 | Edwin Perez | Counselor | 930 N Major Ave, Henderson, NV 89015-5735 | 2014-03-14 |
| 1730340902 | Edwin Perez | Anesthesiology | 1396 Myrtle Ave, Brooklyn, NY 11237-4513 | 2008-06-20 |
| 1376587816 | Edwin A. Perez | Psychiatry & Neurology | 3739 E. Maffeo Rd., Phoenix, AZ 85050-8342 | 2006-06-15 |
| 1881294734 | Edwin Perez | Behavior Technician | 871 Coleman Ave # 209, San Jose, CA 95110-1831 | 2020-10-29 |
| 1740400811 | Edwin Perez | Pediatrics | Apartado 515, Naranjito, PR 00719 | 2007-04-30 |
| 1649312794 | Edwin Perez | Pharmacist | 629 W 185th St, New York, NY 10033-3102 | 2007-02-13 |
| Street Address |
1015 S BROADWAY SUITE 18 |
| City | MINOT |
| State | ND |
| Zip Code | 58701-4667 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548200892 | Tim Scott Carlson | Pharmacist | 1015 S Broadway, Ste. #3, Minot, ND 58701-4667 | 2006-06-07 |
| 1831748151 | Elizabeth Ann Vibeto | Registered Nurse | 1015 S Broadway, Minot, ND 58701-4667 | 2019-09-09 |
| 1538693973 | Morgan Bright | Case Manager/Care Coordinator | 1015 S Broadway, Suite 18, Minot, ND 58701-4667 | 2017-04-12 |
| 1932631280 | Ness Family Dentistry, LLC | Clinic/Center | 1015 S Broadway, Suite 20, Minot, ND 58701-4667 | 2017-03-28 |
| 1679004899 | Onyinye Okoye-epundu | Registered Nurse | 1015 S Broadway, Suite 18, Minot, ND 58701-4667 | 2017-03-21 |
| 1508301292 | Stacey Jackson | Registered Nurse | 1015 S Broadway, Suite 18, Minot, ND 58701-4667 | 2017-01-04 |
| 1568906949 | Kimberly Luster | Registered Nurse | 1015 S Broadway, Suite 18, Minot, ND 58701-4667 | 2016-12-05 |
| 1992248819 | Emmanuel Toquee | Case Manager/Care Coordinator | 1015 S Broadway, Suite 18, Minot, ND 58701-4667 | 2016-11-25 |
| 1366992661 | Shari Pister | Case Manager/Care Coordinator | 1015 S Broadway, Suite 18, Minot, ND 58701-4667 | 2016-10-11 |
| 1770032112 | Janelle Mellor | Case Manager/Care Coordinator | 1015 S Broadway, Suite 18, Minot, ND 58701-4667 | 2016-09-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538767926 | Minot Commission On Aging, Inc | In Home Supportive Care | 21 1st Avenue Se, Minot, ND 58701 | 2020-10-16 |
| 1780207647 | Growing Together Inc | Counselor | 515 19 Ave Sw, Minot, ND 58701 | 2020-05-26 |
| 1144867847 | Sarah Howard | Registered Nurse | 1015 South Broadway, Ste. 2, Minot, ND 58701 | 2019-12-02 |
| 1962973453 | Julia Irene Lakoduk | Speech-Language Pathologist | Bell Elementary, 5901 Us-52, Minot, ND 58701 | 2018-12-10 |
| 1073000469 | Goodman Addiction Services | Counselor | 1809 South Broadway Suite S., Minot, ND 58701 | 2018-04-20 |
| 1811405988 | Mackenzie J Jones Pllc | Chiropractor | 1407 S Broadway Ste 123, Minot, ND 58701 | 2018-01-11 |
| 1265957617 | Cassandra Czerwonka | Behavioral Analyst | 1408 20th Ave Sw, Suite 7, Minot, ND 58701 | 2017-08-07 |
| 1689197493 | Rem North Dakota | Intermediate Care Facility, Mentally Retarded | 1905 2nd Street Se, Suite 1a, Minot, ND 58701 | 2017-07-24 |
| 1558890236 | Timothy J Corrigan | Chiropractor | 1418 S Broadway Ste C, Minot, ND 58701 | 2017-06-07 |
| 1265826036 | Premier Physical Therapy of North Dakota Pllc | Physical Therapist | 1715 South Broadway, Minot, ND 58701 | 2015-03-19 |
| Find all providers in zip 58701 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891300794 | Heather Leier | Case Manager/Care Coordinator | 101 16th St Sw, Minot, ND 58701-3463 | 2020-09-09 |
| 1942854260 | Johnita Whyte | Case Manager/Care Coordinator | 225 3rd St Se Fl 3, Minot, ND 58701-3958 | 2019-07-25 |
| 1003367327 | Tiffany Pinckney | Case Manager/Care Coordinator | 225 3rd St Se, Minot, ND 58701-3958 | 2016-10-21 |
| 1679605786 | Bonnie K Schriock | Case Manager/Care Coordinator | 225 3rd St Se Fl 4, Minot, ND 58701-3958 | 2007-03-12 |
| 1164029070 | Cheryl Coyle | Case Manager/Care Coordinator | 1905 2nd St Se Ste 1b, Minot, ND 58701-6566 | 2020-10-04 |
| 1962017624 | Lindsay Welsh | Case Manager/Care Coordinator | 225 3rd St Se, Minot, ND 58701-3958 | 2020-09-10 |
| 1043821739 | Amanda J Folk | Case Manager/Care Coordinator | 1015 S Broadway Ste 18, Minot, ND 58701-4667 | 2020-08-14 |
| 1558988436 | Mckenzie M Lundy | Case Manager/Care Coordinator | 1015 S Broadway Ste 18, Minot, ND 58701-4667 | 2020-06-26 |
| 1164048286 | Mylah Lil Rostad | Case Manager/Care Coordinator | 225 3rd St Se, Minot, ND 58701-3958 | 2020-06-24 |
| 1871119909 | Monica Ann Olson | Case Manager/Care Coordinator | 225 3rd St Se, Minot, ND 58701-3958 | 2020-06-24 |
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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.