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ISAAC MICHAEL PERUSKI PA-C NPI 1669098174


NPI Information

NPI: 1669098174
Provider Name: ISAAC MICHAEL PERUSKI, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
6777 W MAPLE RD
WEST BLOOMFIELD, MI
ZIP 48322
Phone: (248) 325-1000
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Isaac Michael Peruski, PA-C is a surgical physician assistant in West Bloomfield, MI with 4 years of experience. Isaac Michael Peruski, PA-C NPI is 1669098174. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2020

The provider's business location address is:

6777 W MAPLE RD
WEST BLOOMFIELD, MI
ZIP 48322-013
Phone: (248) 325-1000

The NPI 1669098174 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/20/2020 and was last updated on 5/3/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363A00000XPhysician Assistant5601010032MICHIGANNo
2363AS0400XPhysician AssistantSurgicalPA.0007820COLORADOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.