DR. MARY SHARON PERAUD M.D. NPI 1154316107

NPI Information

  • NPI: 1154316107
  • Provider Name: DR. MARY SHARON PERAUD, M.D.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • Address: 115 SCHULT RIDGE RD
    FREDERICKSBURG, IA
    ZIP 50630
  • Phone: (563) 237-5316

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NPI Details

DR. Mary Sharon Peraud, M.D. is a family medicine in Fredericksburg, IA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Mary Sharon Peraud, M.D. NPI is 1154316107. 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:

115 SCHULT RIDGE RD
FREDERICKSBURG, IA
ZIP 50630-582
Phone: (563) 237-5316
Fax: (563) 237-6337

The enumeration date for this NPI number is 9/15/2005 and was last updated on 1/23/2008.

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
1207Q00000XFamily Medicine19386IOWAYes

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 Other Provider Identifier Issuer
10130385MEDICAIDIOWA
213038MEDICARE PINIOWA
32313560OTHERIOWAUNITED HEALTH CARE
4AO1155MEDICARE UPINIOWA
57882OTHERIOWAMIDLANDS CHOICE
613038OTHERIOWABCBS

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: 11/21/2025

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