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NPI Code Detail

MEDICARE: DAVID PERSE MD

MEDICARE: DAVID PERSE MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208600000XSurgery Physician35050026POH

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P00925962OTHEROHRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1154398204
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID PERSE MD
Provider Business Mailing Address
First Line : 30701 LORAIN RD STE A
Second Line :
City : NORTH OLMSTED
State : OH
Zip : 44070-6325
Country : US
Telephone Number : 216-363-2730
Fax Number :
Provider Business Practice Location Address
First Line : 2401 SCRANTON RD
Second Line :
City : CLEVELAND
State : OH
Zip : 44113-4313
Country : US
Telephone Number : 216-363-7402
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/07/2006
Last Update Date : 06/22/2026

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Directions to “ DAVID PERSE MD” Practice Location

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