Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | MD063893L | PA |
N | 111NI0900X | Internist | MD063893L | PA |
N | 207RH0002X | Hospice and Palliative Medicine | 252316 | NY |
Y | 207RH0002X | Hospice and Palliative Medicine | MD063893L | PA |
N | 208D00000X | General Practice Physician | MD063893L | PA |
NPI | 1316967623 |
---|---|
Provider Name | James Edward Perle |
First Address | Sayre, PA 18840-1625 |
Second Address | Corning, NY 14830 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/07/2006 |
Last Update Date | 25/02/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0016888940002 | (05) | PA |
01734402 | CAPITAL BLUE CROSS (01) | PA |
01734402 | KEYSTONE (01) | PA |
110162058 | RAILROAD MEDICARE (01) | PA |
118438711 | DEPARTMENT OF LABOR (01) | PA |
12612604G | GEISINGER (01) | PA |
232809429 | TRICARE (01) | PA |
267499 | BLUE SHIELD (01) | PA |
325055 | HEALTH AMERICA (01) | PA |
G66129 | (02) | PA |