Susan Owen Perks, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

037002 Issued in CT

Practice address

345 N Main St Ste 248
West Hartford, CT 06117-2508

Phone

(860) 231-8345

Fax

(860) 523-4061

NPI assigned

Aug 30, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: susan.perks@pedicorp.eclinicaldirectplus.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pedicorp, PC

  • Pediatric Adolescent Medicine Physician
  • West Hartford, CT
  • NPI 1952581928
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1043320526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 N MAIN ST STE 248",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061172508",
            "telephone_number": "860-231-8345",
            "fax_number": "860-523-4061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 N MAIN ST STE 248",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061172508",
            "telephone_number": "860-231-8345",
            "fax_number": "860-523-4061"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12 N Main St",
            "address_2": "Suite 110",
            "address_purpose": "LOCATION",
            "city": "West Hartford",
            "state": "CT",
            "postal_code": "061071932",
            "country_code": "US",
            "telephone_number": "860-232-2626",
            "fax_number": "860-233-5407",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12 N Main St",
            "address_2": "Suite 110",
            "address_purpose": "LOCATION",
            "city": "West Hartford",
            "state": "CT",
            "postal_code": "061071932",
            "country_code": "US",
            "telephone_number": "860-232-2626",
            "fax_number": "860-233-5407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERKS",
        "first_name": "SUSAN",
        "middle_name": "OWEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CT",
            "license": "037002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dimitri Perdikis, D.D.S.
• Aysa Perez-Dean, LMSW
• Maria Victoria Perez, LCSW
• Rosa Alba Perez
• John H Perkins, MD
• Michael Mark Perl, DDS
• Susan Pamela Perrotti, RPH
• Jeanette Perry
• Melissa D Persaud, PSY.D
• Personal Care Associates LLC

• Pediatrics Physician in West Hartford, CT
• Providers in West Hartford, CT by specialty
• Pediatrics Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.