CHARLES AUSTIN PERRY II (NPI# 1770858656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770858656 |
| Entity Type | Individual |
| Full Name | CHARLES AUSTIN PERRY II |
| Credential | APRN |
| Practice Address |
210 E Gray St Suite 1105 Louisville KY 40202-3900 |
| Mailing Address |
Po Box 776351 Chicago IL 60677-6351 |
| Practice Telephone | 5025831697 |
| Practice Fax Number | 5025832120 |
| Mailing Telephone | 5025889490 |
| Mailing Fax Number | 5022725116 |
| Enumeration Date | 2012-03-12 |
| Last Update Date | 2017-09-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
3007332 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 201067550 | 05 | |
| KY | 7100201270 | 05 | |
| KY | SIHO - NNIKY | 134996 | 01 |
| KY | PASSPORT - NNIKY | 50038650 | 01 |
| KY | ANTHEM - NNIKY | 000000764051 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083031306 | Charles Perry | Social Worker | 303 Potrero St Ste 47-103, Santa Cruz, CA 95060-7601 | 2014-03-25 |
| 1255658159 | Charles Fred Perry Jr. | Case Manager/Care Coordinator | 301 Nw 63rd St Ste 600, Oklahoma City, OK 73116-7909 | 2010-05-01 |
| 1851563480 | Charles William Perry IIi | Counselor | 1078 Cr 1035, Greenville, TX 75401 | 2008-03-24 |
| 1992883664 | Charles W. Perry | Plastic Surgery | 785 University Ave, Chrysalis Cosmetics, Sacramento, CA 95825-6708 | 2006-11-01 |
| 1821109711 | Charles M Perry | Podiatrist | 1354 Clark St, Cambridge, OH 43725 | 2006-08-31 |
| 1306341946 | Charles Perry | Social Worker | 2900 Hempstead Tpke Ste 217, Levittown, NY 11756-1401 | 2018-03-26 |
| 1578931820 | Charles Perry | Pharmacist | 200 Wilmot Rd, Deerfield, IL 60015-4620 | 2015-09-03 |
| 1700078672 | Charles Perry | Internal Medicine | 90 S Bedford Rd, Mount Kisco, NY 10549-3412 | 2007-08-15 |
| 1740356492 | Charles Wayne Perry | Marriage & Family Therapist | 2911 Zelda Rd, Montgomery, AL 36106-2648 | 2006-11-27 |
| 1710919766 | Charles Stephen Perry | Pediatrics | 211 N Main St, Greeneville, TN 37745-3815 | 2006-07-07 |
| Street Address |
210 E GRAY ST SUITE 1105 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40202-3900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770588519 | Salvatore J. Bertolone Jr. | Pediatrics | 210 E Gray St, Ste 601, Louisville, KY 40202-3902 | 2005-06-17 |
| 1699299669 | Nicholas Andrew Beckham | Physical Therapist | 210 E Gray St, Louisville, KY 40202-3900 | 2017-08-01 |
| 1366981532 | Catharine Deeds | Registered Nurse | 210 E Gray St, Suite 900, Louisville, KY 40202-3900 | 2017-02-21 |
| 1417495334 | Angela Goldring | Nurse Practitioner | 210 E Gray St, Suite 700, Louisville, KY 40202-3900 | 2017-02-11 |
| 1265887269 | Brittany Jean Michele Kurtz | Nurse Practitioner | 210 E Gray St, Ste 1000, Louisville, KY 40202-3906 | 2016-04-27 |
| 1164887576 | Stephanie Schell | Nurse Practitioner | 210 E Gray St, Suite 1003, Louisville, KY 40202 | 2015-12-30 |
| 1144697863 | Jennifer Dupree | Nurse Practitioner | 210 E Gray St, Suite 900, Louisville, KY 40202-3900 | 2015-08-28 |
| 1962888941 | Spencer Moorman | Social Worker | 210 E Gray St, Suite 601, Louisville, KY 40202-3902 | 2015-08-03 |
| 1093105306 | University of Louisville Physicians, Inc. | Pediatrics | 210 E Gray St, Suite 601a, Louisville, KY 40202-3900 | 2015-01-26 |
| 1538559844 | University of Louisville Research Foundation | Physician Assistant | 210 E Gray St, Suite 601a, Louisville, KY 40202-3900 | 2015-01-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972129682 | Garvit Chhabra | Student in an Organized Health Care Education/Training Program | 550, South Jackson Street, Acb, Third Floor, Louisville, KY 40202 | 2020-06-18 |
| 1396367009 | Richele Williams | Student in an Organized Health Care Education/Training Program | 201 Abraham Flexner Way Department of Family and Pediac, Suite 690, Louisville, KY 40202 | 2020-05-15 |
| 1942822028 | Ahmed Khaled Saleh | Student in an Organized Health Care Education/Training Program | 500 S Jackson St, Room 305, Louisville, KY 40202 | 2020-05-12 |
| 1457972952 | Mir Ali Raza Talpur | Student in an Organized Health Care Education/Training Program | 401 E Chestnut Street, Suite 600 University of Louisvi, Louisville, KY 40202 | 2020-05-06 |
| 1316575533 | Abigail Hatfield | Student in an Organized Health Care Education/Training Program | Internal Medicine Training Program, 550 South Jackson Street, Acb 3rd Floor, Louisville, KY 40202 | 2020-04-01 |
| 1851929210 | Madison Harmon | Student in an Organized Health Care Education/Training Program | Uofl Department of Emergency Medicine, 530 S. Jackson Street Room C1h17, Louisville, KY 40202 | 2020-03-31 |
| 1184252041 | Marianna Weaver | Student in an Organized Health Care Education/Training Program | 550 South Jackson Street, Acb 3rd Floor, University of Louisville, Louisville, KY 40202 | 2020-03-27 |
| 1700347341 | Charles Jake Sadle | Student in an Organized Health Care Education/Training Program | Office of Medical Education C/o Brittney Luckett, 571 S. Floyd St., Ste. 412, Louisville, KY 40202 | 2019-03-27 |
| 1437616794 | Paladina Health, LLC | Family Medicine | Paladina Health Humana East, 123 E Main Street, Louisville, KY 40202 | 2019-02-22 |
| 1205393568 | Paladina Health, LLC | Family Medicine | Paladina Health Humana West, 500 W Main Street, Louisville, KY 40202 | 2019-02-22 |
| Find all providers in zip 40202 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023618535 | Pamela Nicole Kinney | Nurse Practitioner | 13503 Terrace Creek Dr Apt 203, Louisville, KY 40245-5838 | 2020-10-26 |
| 1457950883 | Tetteh Narteh | Nurse Practitioner | 10200 Linn Station Rd Ste 125, Louisville, KY 40223-3889 | 2020-10-16 |
| 1114525540 | Richard A Anane | Nurse Practitioner | 10200 Linn Station Rd Ste 300, Louisville, KY 40223-3841 | 2020-10-16 |
| 1427656081 | Elma Mustic | Nurse Practitioner | 9714 Boxford Way, Louisville, KY 40242-2305 | 2020-10-15 |
| 1679171318 | Cassandra Jane Lee | Nurse Practitioner | 3416 Imperator Ln Unit 103, Louisville, KY 40245-7752 | 2020-10-14 |
| 1942817762 | Merritt Borders | Nurse Practitioner | 1602 Hunnington Pl Apt 4, Louisville, KY 40220-3771 | 2020-09-25 |
| 1114533536 | Lyssa Alexandra Miller | Nurse Practitioner | 5120 Dixie Hwy Ste 101, Louisville, KY 40216-1775 | 2020-09-21 |
| 1174138713 | Paola Cristina Maldonado | Nurse Practitioner | 14719 Eddington Way Apt 304, Louisville, KY 40245-5581 | 2020-09-10 |
| 1033722525 | Bynisha Robertson | Nurse Practitioner | 5312 Sprigwood Ln, Louisville, KY 40291-1135 | 2020-08-25 |
| 1154931202 | Heather M Karem | Nurse Practitioner | 10207 Hartley Dr, Louisville, KY 40223-2735 | 2020-08-04 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40202 |
Please comment or provide details below to improve the information on CHARLES AUSTIN PERRY II.
| 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.