Provider Demographics
NPI:1003872813
Name:PERRI, JEFFREY ALLEN (MD)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:ALLEN
Last Name:PERRI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1050 BOWER HILL RD
Mailing Address - Street 2:SUITE 302
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15243-1800
Mailing Address - Country:US
Mailing Address - Phone:412-942-5660
Mailing Address - Fax:412-942-5687
Practice Address - Street 1:1050 BOWER HILL RD
Practice Address - Street 2:SUITE 302
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15243-1800
Practice Address - Country:US
Practice Address - Phone:412-942-5660
Practice Address - Fax:412-942-5687
Is Sole Proprietor?:No
Enumeration Date:2006-04-21
Last Update Date:2014-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD051143L208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
G24759OtherHEALTH AMERICA
PA0015935200002Medicaid
PA855825OtherINDIVIDUAL BLUE SHIELD #
203819OtherUPMC HEALTH PLAN
PA855825OtherINDIVIDUAL BLUE SHIELD #
203819OtherUPMC HEALTH PLAN