DR. JOHN ETHWELL PERRY III (NPI# 1942210976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942210976 |
| Entity Type | Individual |
| Full Name | DR. JOHN ETHWELL PERRY III |
| Credential | M.D. |
| Practice Address |
3024 New Bern Ave Suite 301 - Internal Medicine Raleigh NC 27610-1247 |
| Mailing Address |
3024 New Bern Ave Suite 300 Raleigh NC 27610-1247 |
| Practice Telephone | 9193507993 |
| Practice Fax Number | 9193507988 |
| Mailing Telephone | 9193508228 |
| Mailing Fax Number | 9193507976 |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 9400611 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8966770 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215274964 | John Wayne Perry | Case Manager/Care Coordinator | 1900 10th St., Alamogordo, NM 88310 | 2013-01-14 |
| 1578704680 | John Killebrew Perry Jr. | Anesthesiology | 161 River Oaks Drive, Madison River Oaks Medical Center, Canton, MS 39046 | 2009-03-19 |
| 1811169956 | John F Perry | Dentist | 9133 Parkway E Ste 101b, Birmingham, AL 35206-1500 | 2008-03-28 |
| 1518136944 | John Joseph Perry | Pharmacist | 915 S Halleck St, Demotte, IN 46310 | 2008-02-29 |
| 1902007297 | John C Perry | Psychiatry & Neurology | 7 North St, Suite #302, Pittsfield, MA 01201-5162 | 2007-05-31 |
| 1912055955 | John J Perry | Dentist | 100 1st Baptist Church Rd., Whitley City, KY 42653-0247 | 2007-01-08 |
| 1679637920 | John Christian Perry | Obstetrics & Gynecology | 4309 W 27th Pl Ste 200, Kennewick, WA 99338-2908 | 2006-12-21 |
| 1336221381 | John Francis Perry IIi | Orthopaedic Surgery | 25 S Pine St, Elverson, PA 19520-9720 | 2006-10-19 |
| 1578644258 | John Theodore Perry IIi | Radiology | 711 Canton Rd Ne Ste 220, Marietta, GA 30060-8949 | 2006-10-18 |
| 1649389446 | John Edward Perry IIi | Internal Medicine | 3500 W Davis St, Suite 220, Conroe, TX 77304-1849 | 2006-08-29 |
| Street Address |
3024 NEW BERN AVE SUITE 301 - INTERNAL MEDICINE |
| City | RALEIGH |
| State | NC |
| Zip Code | 27610-1247 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588664924 | Lynn M Rebello | Pediatrics | 3024 New Bern Ave, Raleigh, NC 27610 | 2005-07-28 |
| 1275158206 | Alejandro Ramirez Lopez | Physician Assistant | 3024 New Bern Ave, Raleigh, NC 27610-1247 | 2020-06-16 |
| 1588225759 | Wakemed Specialists Group, LLC | Preventive Medicine | 3024 New Bern Ave, Raleigh, NC 27610-1247 | 2019-06-27 |
| 1821659079 | Sharon Elizabeth Booth | Physician Assistant | 3024 New Bern Ave, Raleigh, NC 27610-1247 | 2019-06-27 |
| 1790343366 | Wakemed Specialists Group LLC | Pediatrics | 3024 New Bern Ave, Raleigh, NC 27610-1247 | 2019-05-30 |
| 1225693419 | Wakemed Specialists Group LLC | Surgery | 3024 New Bern Ave, Raleigh, NC 27610-1247 | 2019-05-03 |
| 1720643927 | Wakemed Specialists Group, LLC | Otolaryngology | 3024 New Bern Ave, Raleigh, NC 27610-1247 | 2019-05-03 |
| 1649835836 | Wakemed Specialists Group, LLC | Internal Medicine | 3024 New Bern Ave, Raleigh, NC 27610-1247 | 2019-05-03 |
| 1205491487 | Wakemed Specialists Group LLC | Urology | 3024 New Bern Ave, Raleigh, NC 27610-1247 | 2019-05-03 |
| 1639734817 | Wakemed Specialists Group, LLC | Nutritionist | 3024 New Bern Ave, Raleigh, NC 27610-1247 | 2019-05-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609499243 | Elizabeth Ranganai Mavindidze | Social Worker | Wakemed Health and Hospitals, 3000 New Bern Avenue, Raleigh, NC 27610 | 2020-05-18 |
| 1851958839 | Alex & Associates, P.C. | Dentist | 1600 Cross Link Road, Unit 103, Raleigh, NC 27610 | 2019-05-24 |
| 1639646367 | Carol Mary Medins | Dietitian, Registered | Wakemed Raleigh Medical Park, 23 Sunnybrook Road, Suite 200, Raleigh, NC 27610 | 2018-10-31 |
| 1144714601 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 123 Sunnybrook Rd Ste 150, Raleigh, NC 27610 | 2018-06-19 |
| 1417446006 | Eagles Eye Lab, Inc | Clinical Medical Laboratory | 4501 New Bern Ave, Ste: 130, Raleigh, NC 27610 | 2018-05-09 |
| 1316465206 | Jeffery King Neer | Social Worker | 3010 Falstaff Rd., C/o Unc Actt, Raleigh, NC 27610 | 2017-08-31 |
| 1083139885 | Kelsey Daniel Mccleave | Social Worker | 3630 Enduring Freedom Drive, Raleigh, NC 27610 | 2017-08-14 |
| 1891219093 | Tarheel Residential Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4840 Quarryman Road, Raleigh, NC 27610 | 2017-07-29 |
| 1508214826 | Compassionate Care Providers LLC | Respite Care | 5110 Wetlands, Raleigh, NC 27610 | 2016-05-26 |
| 1730552530 | Matthew Belair | Pharmacist | 1601-51 Cross Link Rd, Raleigh, NC 27610 | 2015-11-03 |
| Find all providers in zip 27610 | ||||
| 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 |
|---|---|---|---|---|
| 1053921874 | Wake Specialty Phisicians, LLC | Internal Medicine | 601 Oberlin Rd, Raleigh, NC 27605-1126 | 2020-08-06 |
| 1255825840 | Frederick Joseph Derosier | Internal Medicine | 1065 Tacketts Pond Dr, Raleigh, NC 27614-7887 | 2018-06-18 |
| 1023518412 | Neijia Grissom | Internal Medicine | 3214 Charles B Root Wynd Ste 213, Raleigh, NC 27612-5440 | 2018-02-13 |
| 1326406703 | Andrew Ubert Schindzielorz | Internal Medicine | 5300 Huntingwood Dr, Raleigh, NC 27606-9642 | 2016-02-01 |
| 1841680220 | Oswald H Ganley | Internal Medicine | 1251 Goode St, The Healing Place of Wake County, Raleigh, NC 27603 | 2015-01-23 |
| 1659775831 | Caremore Health Nc, PC | Internal Medicine | 1100 N Raleigh Blvd, Raleigh, NC 27610-1076 | 2014-10-16 |
| 1295147577 | Courtney Barrett | Internal Medicine | 6729 Falls of Neuse Rd Ste 100, Raleigh, NC 27615-5383 | 2014-05-21 |
| 1821357815 | Vanitha Gopal | Internal Medicine | 370 Allister Dr Unit 406, Raleigh, NC 27609-7269 | 2012-05-10 |
| 1093072498 | The Carter Clinic,pa | Internal Medicine | 183 Wind Chime Ct Ste 100, Raleigh, NC 27615-6574 | 2012-04-23 |
| 1497025076 | George Stueard Nettles Sr. | Internal Medicine | 11192 Bayberry Hills Dr, Raleigh, NC 27617-7908 | 2012-01-12 |
| Find all providers in RALEIGH | ||||
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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.