NPIMap

Organization Active NPI

Charles G. Perkins

Doing business as Peninsula Neurology Center

  • Clinic/Center
  • Soldotna, AK
National Provider Identifier
1114232592
Registry record updated Sep 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
2407 Issued in AK
Legal business name
CHARLES G. PERKINS
Doing business as
Peninsula Neurology Center
Practice address
167 Warehouse Ave
Suite C
Soldotna, AK 99669
Phone
(907) 262-6557
Fax
(907) 262-6559
NPI assigned
Aug 10, 2010
Last updated
Sep 13, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2010

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

Authorized official

Name
Charles G Perkins, MDNPI 1255423869
Title
Owner
Phone
(907) 262-6557

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 2407 AK Primary

Addresses

Primary practice location

167 Warehouse Ave
Suite C
Soldotna, AK 99669

Mailing address

167 Warehouse Ave
Suite C
Soldotna, AK 99669
Phone (907) 262-6557

Other identifiers 1

IdentifierTypeStateIssuer
M2407MedicaidAK

Other names 1

  • Peninsula Neurology Center Doing business as

National Provider Directory

National Provider Directory

Locations

167 Warehouse Dr
Ste C
Soldotna, AK 99669
Phone (907) 262-6557

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1281398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284336000000",
    "number": "1114232592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 WAREHOUSE AVE",
            "address_2": "SUITE C",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "99669",
            "telephone_number": "907-262-6557",
            "fax_number": "907-262-6559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 WAREHOUSE AVE",
            "address_2": "SUITE C",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "99669",
            "telephone_number": "907-262-6557",
            "fax_number": "907-262-6559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES G. PERKINS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-10",
        "last_updated": "2010-09-13",
        "status": "A",
        "authorized_official_last_name": "PERKINS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-262-6557",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "AK",
            "license": "2407",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "M2407",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peninsula Neurology Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Soldotna, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2010; 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.