Provider Demographics
NPI:1316967623
Name:PERLE, JAMES EDWARD (MD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:EDWARD
Last Name:PERLE
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 1:1095 WHIPPOORWILL LN
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34105-3800
Mailing Address - Country:US
Mailing Address - Phone:239-261-4404
Mailing Address - Fax:
Practice Address - Street 1:1095 WHIPPOORWILL LN
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34105-3800
Practice Address - Country:US
Practice Address - Phone:239-261-4404
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-20
Last Update Date:2024-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD063893L207RH0002X, 208D00000X, 208M00000X, 207R00000X
NY252316207RH0002X
FLME164765207RH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative Medicine
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA325055OtherHEALTH AMERICA
PA110162058OtherRAILROAD MEDICARE
PA12612604GOtherGEISINGER
PA01734402OtherKEYSTONE
PA118438711OtherDEPARTMENT OF LABOR
PA232809429OtherTRICARE
PA0016888940002Medicaid
PA01734402OtherCAPITAL BLUE CROSS
PA267499OtherBLUE SHIELD
PA006595Medicare ID - Type Unspecified
PA232809429OtherTRICARE