DR. PRIYAN PERERA (NPI# 1629202627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629202627 |
| Entity Type | Individual |
| Full Name | DR. PRIYAN PERERA |
| Credential | M.D. |
| Practice Address |
815 S Vassault St Tacoma WA 98465 |
| Mailing Address |
Po Box 66657 Seattle WA 98166-0657 |
| Practice Telephone | 2534443427 |
| Mailing Telephone | 2064531818 |
| Enumeration Date | 2009-05-06 |
| Last Update Date | 2020-07-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | MD60536623 | WA | Allopathic & Osteopathic Physicians |
| N | 208100000X | Physical Medicine & Rehabilitation | MD60536623 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | STATE LICENSE | MD60536623 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 815 S Vassault St, Tacoma, WA 98465 | 2534443427 |
| Street Address |
815 S VASSAULT ST |
| City | TACOMA |
| State | WA |
| Zip Code | 98465 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811559693 | Knd Development 59, LLC | Rehabilitation Hospital | 815 S Vassault St, Tacoma, WA 98465-2008 | 2019-07-02 |
| 1912563982 | Priyan Perera Md Pllc | Physical Medicine & Rehabilitation | 815 S Vassault St, Tacoma, WA 98465-2008 | 2019-05-15 |
| 1245756410 | Franciscan Specialty Care, LLC | Rehabilitation Hospital | 815 S Vassault St, Tacoma, WA 98465-2008 | 2017-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013378025 | Shauna Lea Irish | Occupational Therapist | 8446 S. 17th Street, Tacoma, WA 98465 | 2016-03-18 |
| 1538533567 | Katherine Elizabeth Fakih | Massage Therapist | 1002 S. Pearl St., Tacoma, WA 98465 | 2015-11-13 |
| 1992932669 | Sandra Christian | Registered Nurse | 1201 S. Proctor, Comprehensive Mental Health/pearl Street Center, Tacoma, WA 98465 | 2009-06-19 |
| 1306089941 | Kristin A. Hummel-sauerwein | Counselor | Comprehensive Mental Health / Pearl Street Center, 1201 Proctor Street, Tacoma, WA 98465 | 2009-04-13 |
| 1891950630 | Allen Douglas Webb Jr. | Psychiatric Residential Treatment Facility | 815 S Pearl, Pearl Street Center, Tacoma, WA 98465 | 2008-07-22 |
| 1598964470 | Hardtke's House Calls, LLC | Nurse Practitioner | 1540 Ventura Dr, Tacoma, WA 98465 | 2007-07-12 |
| 1013054543 | Advanced Lifeline Services Inc | Respiratory Therapist, Certified | 630 South Pearl, Tacoma, WA 98465 | 2007-02-01 |
| 1508952680 | Mary Ann Woodruff | Pediatrics | 1628 South Mildred, #101, Tacoma, WA 98465 | 2006-10-05 |
| 1427573989 | Mamta Shankar | Pharmacist | 1850 S Mildred St, Tacoma, WA 98465 | 2017-08-06 |
| 1528299161 | Alycia Michelle Milan | Licensed Practical Nurse | 1201 S. Proctor, Comprehensive Mental Health Pearl Street Center, Tacoma, WA 98465 | 2009-07-30 |
| Find all providers in zip 98465 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1730718628 | Brendan Eugene Raney | Internal Medicine | 202 N Borough Rd, Tacoma, WA 98403-2804 | 2020-04-03 |
| 1609404136 | Abigail Anne Cano Deleon | Internal Medicine | 4252 E Roosevelt Ave, Tacoma, WA 98404-4658 | 2020-03-30 |
| 1528691706 | Blue Med Inc. | Internal Medicine | 1222 N Sunset Dr, Tacoma, WA 98406-1027 | 2020-02-17 |
| 1417441189 | Iora Senior Health, Inc | Internal Medicine | 5006 Center St Ste R, Tacoma, WA 98409-2314 | 2018-06-18 |
| 1023525698 | Comprehensive Postacute Care Pllc | Internal Medicine | 1724 Pointe Woodworth Dr Ne, Tacoma, WA 98422-3480 | 2018-01-04 |
| 1972034494 | Brian Hagan | Internal Medicine | 1717 S. J. Street, Suite 336, S. Pavilion, Ms 01-30, Tacoma, WA 98405 | 2017-03-26 |
| 1184967242 | Jerry Hu | Internal Medicine | 415 6th Ave Unit 505, Tacoma, WA 98402-2310 | 2013-03-27 |
| 1639426232 | Desiree Marie Lehmann | Internal Medicine | 1717 S J St # Ms 01-36, Tacoma, WA 98405-4933 | 2012-08-14 |
| 1720344617 | Don Nguyen | Internal Medicine | 1201 Pacific Ave Ste 1950, Tacoma, WA 98402 | 2012-04-05 |
| 1437445855 | Alexander A Divin | Internal Medicine | 1717 South J Street Suite 336, South Pavillion, Ms 01-30, Tacoma, WA 98405 | 2011-06-23 |
| Find all providers in TACOMA | ||||
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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.