DR. JACQUELYN PERRY (NPI# 1346200649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1346200649 |
Entity Type | Individual |
Full Name | DR. JACQUELYN PERRY |
Credential | D.P.M. |
Practice Address |
3020 Race St Fort Worth TX 76111-4116 |
Practice Telephone | 8178389424 |
Practice Fax Number | 8178389425 |
Mailing Telephone | 8178389424 |
Mailing Fax Number | 8178389425 |
Enumeration Date | 2006-03-23 |
Last Update Date | 2009-10-07 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
1244 | TX | Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | UNITED HEALTHCARE | 621526786 | 01 |
TX | PHCS | 621526786 | 01 |
TX | AETNA PPO | 4407693 | 01 |
TX | BLUE CROSS BLUE SHEILD | 00L64N | 01 |
TX | AETNA HMO | 2097757 | 01 |
TX | PACIFICARE/SECURE HORIZON | 621526786 | 01 |
TX | 018771801 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538410832 | Jacquelyn Susanne Perry | Nurse Anesthetist, Certified Registered | 900 Peeler St, Kalamazoo, MI 49008-2300 | 2012-09-26 |
1457512790 | Jacquelyn S Perry | Family Medicine | 3601 Sw 160th Ave, Suite 250, Miramar, FL 33027-6308 | 2008-06-19 |
Street Address |
3020 RACE ST |
City | FORT WORTH |
State | TX |
Zip Code | 76111-4116 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427436641 | Podiatric Medical Partners of Texas, Pa | Podiatrist | 3020 Race St, Fort Worth, TX 76111-4116 | 2015-05-07 |
1811219348 | Podiatric Medical Partners of Texas, Pa | Podiatrist | 3020 Race St, Fort Worth, TX 76111-4116 | 2010-02-25 |
1740462829 | Perrywright and Associates | Podiatrist | 3020 Race St, Fort Worth, TX 76111-4116 | 2007-11-30 |
1922068220 | Terry Wright | Podiatrist | 3020 Race St, Fort Worth, TX 76111-4116 | 2006-03-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306330543 | True Rx LLC | Pharmacy | 4045 E Belknap St Ste 10, Haltom City, TX 76111 | 2018-06-20 |
1538656988 | Dc Dental Associates of Fort Worth Pllc | Dentist | 1114 North Beach Street, Fort Worth, TX 76111 | 2018-04-20 |
1417403262 | Shauna Woody | Specialist/Technologist | 1101 Yucca Ave, Fort Worth, TX 76111 | 2016-08-31 |
1285180018 | Eve Investments LLC | Non-emergency Medical Transport (VAN) | 3513 E Belknap St, Fort Worth, TX 76111 | 2016-08-31 |
1851773857 | Mini Apple Dental Enterprise Pllc | Dentist | 911 N Sylvania Ave, #150, Fort Worth, TX 76111 | 2015-06-25 |
1376953471 | Priya Vinothini Colluru | Dentist | 3913, Wheeler's Street, Fort Worth, TX 76111 | 2014-04-29 |
1669737912 | Trinity River Adult Daycare Center, Inc. | Clinic/Center | 401 N Riverside Dr, Fort Worth, TX 76111 | 2012-07-11 |
1649507708 | Vicki Van Mai | Pharmacist | 3809 E. Belknap St., Fort Worth, TX 76111 | 2009-11-11 |
1295972990 | Elite Healthcare Fort Worth | Clinic/Center | 112 N. Beach St., Fort Worth, TX 76111 | 2009-01-16 |
1124234885 | Psychotherapy Services & Yokefellows | Counselor | 159 N. Riverside Dr, Fort Worth, TX 76111 | 2007-05-16 |
Find all providers in zip 76111 |
Taxonomy Code | 213ES0131X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588986145 | Podiatric Medical Partners of Texas, Pa | Podiatrist | 7100 Oakmont Blvd Ste 208, Fort Worth, TX 76132-3911 | 2010-02-24 |
1316077761 | Gary Victor Bartholomew | Podiatrist | 5450 Clearfork Main St Ste 220, Fort Worth, TX 76109-3562 | 2007-03-06 |
1376531889 | Robert Marshall Johnson | Podiatrist | 4763 Barwick Dr, Suite 101, Fort Worth, TX 76132-1500 | 2005-10-10 |
1366765216 | Podiatric Medical Partners of Texas, Pa | Podiatrist | 5521 Bellaire Dr S, Suite 116, Fort Worth, TX 76109-8838 | 2010-03-08 |
1811219348 | Podiatric Medical Partners of Texas, Pa | Podiatrist | 3020 Race St, Fort Worth, TX 76111-4116 | 2010-02-25 |
1922068220 | Terry Wright | Podiatrist | 3020 Race St, Fort Worth, TX 76111-4116 | 2006-03-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548818941 | Interventional Partners LLC | Podiatrist | 3415 N Loy Lake Rd, Sherman, TX 75090-1744 | 2019-08-28 |
1467958538 | San Antonio Foot and Ankle Center, LLC | Podiatrist | 11212 State Highway 151 Ste 370, San Antonio, TX 78251-4504 | 2018-04-05 |
1972959161 | Darlene Dao Carter | Podiatrist | 5925 Forest Ln Ste 121, Dallas, TX 75230-6101 | 2016-05-06 |
1538552948 | Chetapon Nopachinda | Podiatrist | 1120 Medical Plaza Dr Ste 120, Shenandoah, TX 77380-5250 | 2015-03-09 |
1245647247 | Ravinder Reddy | Podiatrist | 3136 Horizon Rd Ste 120, Rockwall, TX 75032-7808 | 2014-07-22 |
1316258429 | Podiatric Medical Partners of Texas, Pa | Podiatrist | 2625 Matlock Rd, Suite 103, Arlington, TX 76015-2519 | 2010-06-24 |
1659682763 | Podiatric Medical Partners of Texas, Pa | Podiatrist | 5459 La Sierra Dr, Suite 101, Dallas, TX 75231-2347 | 2010-06-24 |
1811208994 | Arlington Mansfield Foot & Ankle Centers, Pa | Podiatrist | 1001 Matlock Rd Ste 103, Mansfield, TX 76063 | 2010-06-23 |
1023330651 | Podiatric Medical Partners of Texas, Pa | Podiatrist | 4333 N Josey Ln Ste 102, Carrollton, TX 75010-4620 | 2010-02-24 |
1942522503 | Podiatric Medical Partners of Texas, Pa | Podiatrist | 1151 N Buckner Blvd Ste 201, Dallas, TX 75218-3400 | 2010-02-24 |
Find all providers with the same taxonomy |
City | FORT WORTH |
Zip Code | 76111 |
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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.