AMANDA NOELE PERILLO PA-C NPI 1033554241

NPI Information

NPI: 1033554241
Provider Name: AMANDA NOELE PERILLO, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Address:
1514 JEFFERSON HWY
NEW ORLEANS, LA
ZIP 70121
Phone: (504) 842-4070
Get Directions

Amanda Noele Perillo, PA-C is a surgical physician assistant in New Orleans, LA. Amanda Noele Perillo, PA-C NPI is 1033554241. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1514 JEFFERSON HWY
NEW ORLEANS, LA
ZIP 70121-429
Phone: (504) 842-4070

The enumeration date for this NPI number is 5/1/2013 and was last updated on 2/2/2015.

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
1	363A00000X	Physician Assistant		016241	NEW YORK	No
2	363AS0400X	Physician Assistant	Surgical	PA.200733.RX	LOUISIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	05724048	MEDICAID	MISSISSIPPI
2	377735YH3U	MEDICARE PIN	LOUISIANA
3	23796969	MEDICAID	LOUISIANA

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: 11/14/2023

NPI Synchronization or Removal

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