Provider Demographics
NPI:1821009853
Name:SHEAR, PERRY A (MD)
Entity Type:Individual
Prefix:
First Name:PERRY
Middle Name:A
Last Name:SHEAR
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 1:305 BLACK ROCK TPKE
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06825-5508
Mailing Address - Country:US
Mailing Address - Phone:203-337-2600
Mailing Address - Fax:203-337-2666
Practice Address - Street 1:305 BLACK ROCK TPKE
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:CT
Practice Address - Zip Code:06825-5508
Practice Address - Country:US
Practice Address - Phone:203-337-2600
Practice Address - Fax:203-337-2666
Is Sole Proprietor?:No
Enumeration Date:2006-08-11
Last Update Date:2017-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT032318207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT010032318CT07OtherANTHEM BC/BS
CT2V5032OtherHEALTH NET
TINOtherORTHONET
TINOtherPIONEER
TINOtherNORTHEAST HEALTH DIRECT
TINOtherCORVEL
CT0179137OtherCIGNA
CT3724451OtherAETNA
TINOtherPOMCO
CTZS385OtherOXFORD HEALTH PLANS
CT001323188Medicaid
CT323180OtherCONNECTICARE
TINOtherUNITED HEALTHCARE
TINOtherNEHCA HMC / PPO
TINOtherGREAT WEST
CT2M6351(2) (3)OtherEMPIRE
TINOtherFIRST HEALTH / CCN
TINOtherNATIONAL PROVIDER NETWORK
TINOtherNORTHEAST HEALTH DIRECT
F42845Medicare UPIN