DR. THOMAS RUSSELL PERRY (NPI# 1922280403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922280403 |
| Entity Type | Individual |
| Full Name | DR. THOMAS RUSSELL PERRY |
| Credential | M.D. |
| Practice Address |
611 Sherman Ave E Fort Atkinson WI 53538-1960 |
| Mailing Address |
2229 15th St Monroe WI 53566-2116 |
| Practice Telephone | 9205685334 |
| Mailing Telephone | 6083256664 |
| Mailing Fax Number | 6082993745 |
| Enumeration Date | 2007-11-27 |
| Last Update Date | 2008-05-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
22619 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | DEAN HEALTH PLAN | 569574 | 01 |
| WI | 31804600 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275922338 | Thomas Perry | Licensed Practical Nurse | 264 Broadhead Ave, Lower, Jamestown, NY 14701-8115 | 2015-01-13 |
| 1487756417 | Thomas C Perry | Emergency Medicine | 9971 Old Batson Saratoga Rd, Sour Lake, TX 77659 | 2006-09-01 |
| 1073533311 | Thomas Perry | Obstetrics & Gynecology | 2626 Edith Avenue, Suite B, Redding, CA 96001 | 2006-07-20 |
| 1174583116 | Thomas Bush Perry | Optometrist | 105 Martin Luther King Jr Dr, Forsyth, GA 31029-1698 | 2006-03-24 |
| 1841714482 | Thomas Steven Perry | Physical Therapist | 313 Neff Ave Ste C, Harrisonburg, VA 22801-3495 | 2017-07-26 |
| 1609227495 | Thomas Ray Perry | Anesthesiology | 987400 Nebraska Medical Ctr, Omaha, NE 68198-7400 | 2016-06-23 |
| 1598177651 | Thomas Perry | Psychiatry & Neurology | 5542 Walzem Rd, Windcrest, TX 78218 | 2014-05-23 |
| 1649542986 | Thomas Edward Perry | Physical Therapy Assistant | 6998 Crider Rd, Suite 110, Mars, PA 16046-2390 | 2012-02-02 |
| 1043343692 | Thomas C Perry Jr. | Psychiatry & Neurology | 1 Highlander Way Ste 4, Manchester, NH 03103-7404 | 2007-03-13 |
| 1821080300 | Thomas D Perry | Specialist | 8410 W Thomas Rd, Suite 116, Phoenix, AZ 85037-3329 | 2005-08-19 |
| Street Address |
611 SHERMAN AVE E |
| City | FORT ATKINSON |
| State | WI |
| Zip Code | 53538-1960 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073515219 | Linda Ann Samson | Registered Nurse | 611 Sherman Ave E, Fort Atkinson, WI 53538-1960 | 2005-06-01 |
| 1679119234 | Tammy Nelson | Dietitian, Registered | 611 Sherman Ave E, Fort Atkinson, WI 53538-1960 | 2019-11-19 |
| 1689217580 | Lisa Anne Ashwill | Dietitian, Registered | 611 Sherman Ave E, Fort Atkinson, WI 53538-1960 | 2019-10-23 |
| 1477036150 | Lisa Gdaniec | Physical Therapist | 611 Sherman Ave E, Fort Atkinson, WI 53538-1960 | 2018-09-10 |
| 1316466808 | Vicki Sue Kamuchey | Occupational Therapy Assistant | 611 Sherman Ave E, Fort Atkinson, WI 53538-1960 | 2017-09-15 |
| 1831648989 | Jonathan Michael Beck | Nurse Anesthetist, Certified Registered | 611 Sherman Ave E, Fort Atkinson, WI 53538-1960 | 2016-09-30 |
| 1598144867 | Martin Okun | Dermatology | 611 Sherman Ave E, 3rd Floor, Fort Atkinson, WI 53538-1960 | 2015-05-20 |
| 1073920708 | Kristen N Burg | Nurse Anesthetist, Certified Registered | 611 Sherman Ave E, Fort Atkinson, WI 53538-1960 | 2014-07-15 |
| 1588090997 | Valerie Klatt | Registered Nurse | 611 Sherman Ave E, Fort Atkinson, WI 53538-1960 | 2013-09-17 |
| 1457791055 | Holly Crowley | Physician Assistant | 611 Sherman Ave E, Fort Atkinson, WI 53538-1960 | 2013-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902370695 | Home Care Assistance Services, LLC | In Home Supportive Care | 1001 Madison Avenue, Suite C, Fort Atkinson, WI 53538 | 2019-01-15 |
| 1609367291 | David Lewis | Physical Therapy Assistant | 431 Raintree Dr, Fort Atkinson, WI 53538 | 2018-05-20 |
| 1972093706 | City of Fort Atkinson | Ambulance | 124 Milwaukee Ave W, Fort Atkinson, WI 53538 | 2018-05-17 |
| 1306383468 | Chelsey Turk | Specialist/Technologist | 1231 Orchard Lane, Fort Atkinson, WI 53538 | 2017-01-27 |
| 1639625452 | Insight Counseling Services | Community/Behavioral Health | 615 Frederick Ave., Fort Atkinson, WI 53538 | 2016-08-31 |
| 1912355314 | Melissa Anne Gleason Trimbell | Dentist | 520 Handeyside Ln Ste 4, Fort Atkinson, WI 53538 | 2016-05-26 |
| 1295141943 | Brittany K Romans | Registered Nurse | 1230 Commonwealth Dr, 1, Fort Atkinson, WI 53538 | 2014-07-02 |
| 1023367117 | June Ann Sullivan | Occupational Therapy Assistant | 815 West Cramer Street, Fort Atkinson, WI 53538 | 2012-09-05 |
| 1306080551 | Mary Kathleen Bornick | Licensed Practical Nurse | W. 6143 N. Thornapple Court, Fort Atkinson, WI 53538 | 2009-04-30 |
| 1528244613 | Community Dental Clinic | Clinic/Center | 520 Handeyside, Suite 4, Fort Atkinson, WI 53538 | 2008-01-18 |
| Find all providers in zip 53538 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013065598 | Thomas R. Perry, M.d.,s.c. | Psychiatry & Neurology | 611 Sherman Ave E, Fort Atkinson, WI 53538-1960 | 2007-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689162661 | Tseun Han James Kong | Psychiatry & Neurology | Uw Hospitals and Clinics, 600 Highland Ave, Madison, WI 53792 | 2018-04-25 |
| 1235630625 | The Cervical Spine Institute and Neuromonitoring, LLC | Psychiatry & Neurology | 2221 S Webster Ave # 268, Green Bay, WI 54301-2158 | 2018-02-22 |
| 1235647793 | Midwest Monitoring, LLC | Psychiatry & Neurology | 4321 W College Ave Ste 200, Appleton, WI 54914 | 2018-01-18 |
| 1477937274 | Baycare Clinic LLP | Psychiatry & Neurology | 4801 Expo Drive, Manitowoc, WI 54220 | 2015-07-13 |
| 1184011975 | Abdulrahim Ismail | Psychiatry & Neurology | 3003 University Dr Ste 203, Marinette, WI 54143-4110 | 2015-04-20 |
| 1033505821 | Heydi Flores Podadera | Psychiatry & Neurology | 721 N Midvale Blvd, Madison, WI 53705-3233 | 2015-04-08 |
| 1104221092 | Sharon Anne Bremer | Psychiatry & Neurology | 423 Landimore Ln, Wales, WI 53183-9552 | 2014-11-04 |
| 1891120093 | Robert T Schmidt Jr. | Psychiatry & Neurology | 2460 Old Plank Rd, De Pere, WI 54115-8658 | 2013-09-06 |
| 1356656771 | Klasinski Neurocare, Sc | Psychiatry & Neurology | 500 Vincent St Ste B, Stevens Point, WI 54481-1842 | 2010-08-10 |
| 1497931661 | Audrey Jantzen | Psychiatry & Neurology | 1685 Highland Ave, Department of Neurology - Centennial Building, Madison, WI 53705-2281 | 2008-01-17 |
| Find all providers with the same taxonomy | ||||
| City | FORT ATKINSON |
| Zip Code | 53538 |
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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.