Michael Perisa, MD

Pediatrics Physician · Chardon, OH

Individual Active NPI

NPI number 1710418629

Practice location

13241 Ravenna Rd
Chardon, OH 44024-9012
Phone
(440) 285-9166

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NPI record

NPI
1710418629
Entity type
Individual (Type 1)
Enumeration date
March 22, 2017
Last updated
November 20, 2020
Certified
November 20, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatrics Physician Primary 208000000X 35.140689 OH

Mailing address

3262 Youngstown Kingsville Rd
Cortland, OH 44410-9487
Phone
(330) 719-2105

Other practice locations (1)

  • 700 Childrens Dr, Columbus, OH 43205-2664 · (614) 722-4411

About Dr. Perisa

Michael Perisa, MD is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 13241 Ravenna Rd, Chardon, OH 44024-9012. The NPI number 1710418629 was assigned on March 22, 2017 and the record was last updated on November 20, 2020.

Dr. Perisa lists a license in the registry: #35.140689 (OH) for Pediatrics Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Michael Perisa, MD?

The NPI number is 1710418629.

What is the phone number of Dr. Perisa?

The phone number listed for the practice location is (440) 285-9166.

Where is Dr. Perisa located?

13241 Ravenna Rd, Chardon, OH 44024-9012.

What is the taxonomy code for Dr. Perisa?

The primary taxonomy code is 208000000X – Pediatrics Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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