Healthcare Provider Details

I. General information

NPI: 1497311609
Provider Name (Legal Business Name): KATHERINE S PERRYMAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KATHERINE S BARTZ

II. Dates (important events)

Enumeration Date: 05/13/2019
Last Update Date: 04/02/2025
Certification Date: 04/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

521 PARNASSUS AVE RM 4401
SAN FRANCISCO CA
94143-2206
US

IV. Provider business mailing address

521 PARNASSUS AVE RM 4401
SAN FRANCISCO CA
94143-2206
US

V. Phone/Fax

Practice location:
  • Phone: 415-476-9035
  • Fax: 415-353-9163
Mailing address:
  • Phone: 415-476-9035
  • Fax: 415-353-9163

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberA182130
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number036172327
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: