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Deactivated NPI 1174718514 Deactivated / Inactive NPI Male Practitioner

Dr. Roger Hobart Perry , MD

Pediatrics • Williamsburg, VA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Roger Perry has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 10, 2007
NPI Deactivation Date March 04, 2022
Total Practice Duration ~15 Years of Practice (2007 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Roger Perry, MD was a registered Pediatrics practicing in Williamsburg, VA. Throughout an active medical career spanning 15 years, Dr. Perry provided care at the practice location at 5249 OLDE TOWNE RD until profile deactivation on 2022-03-04.

Practice Location & Contact Primary Location

Practice Address

5249 Olde Towne Rd
Suite D

Williamsburg, VA 231888111

Telephone 7572593258
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Williamsburg, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 32.0 Yrs
State Avg: 20.6 Yrs
Regional Practice Density
18 Specialists

Practicing in Williamsburg, VA (2079 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License VA 0101012593

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
Lisa Coleman , APRN

Nurse Practitioner

NPI 1144054107

Advanced Practice Registered Nurse

NPI 1366413403

Doctor of Medicine (M.D.)

Kendra Robinson , MSN, FNP-BC, CDE

Nurse Practitioner - Family

NPI 1497132880

Master of Science in Nursing, Family Nurse Practitioner (Board Certified), Certified Diabetes Educator

Patricia Branch , CFNP

Nurse Practitioner - Family

NPI 1598846875
Dr. Richard Stader , MD

Orthopaedic Surgery - Pediatric Orthopaedic Surgery

NPI 1750598249

Doctor of Medicine (M.D.)

Marirose David , NP-C

Nurse Practitioner - Family

NPI 1790230456

Nurse Practitioner (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated March 04, 2022

Record deactivated on March 04, 2022

NPI Profile Active September 10, 2007

NPI status registered as active in NPPES database

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Updated Practice Location September 10, 2007

Registered at 5249 OLDE TOWNE RD, SUITE D, WILLIAMSBURG, VA 231888111 (Tel: 7572593258)

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Updated Business Mailing Address September 10, 2007

Registered at 5249 OLDE TOWNE RD, SUITE D, WILLIAMSBURG, VA 231888111 (Tel: 7572593258)

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Provider Name / Credentials Updated September 10, 2007

Recorded as ROGER PERRY, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 10, 2007

Pediatrics (License #0101012593 in VA)

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Initial NPI Registration & Enumeration September 10, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1174718514
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 10, 2007
Last Update: September 10, 2007
Deactivation Date: March 04, 2022

Mailing Address

5249 Olde Towne Rd, Suite D

Williamsburg, VA 231888111

Phone: 7572593258

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.