Active NPI
Mark Anthony Perkins, LSA
- Surgical Physician Assistant
- Frisco, TX
National Provider Identifier
1215904289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- SA00349
- Practice address
- 3245 W Main St
Suite 235-182
Frisco, TX 75034-4411 - Phone
- (214) 733-2789
- Fax
- (215) 436-5495
- NPI assigned
- Mar 8, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | SA00349 | TX | Primary |
Addresses
Primary practice location
3245 W Main St
Suite 235-182
Frisco, TX 75034-4411
Mailing address
3245 W Main St
Suite 235-182
Frisco, TX 75034-4411
Phone (214) 733-2789
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA00349 | TX | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Perkins 1St Assistants LLC | Surgical | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Surgical Physician Assistant
- Frisco, TX
- NPI 1346530086
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281484800000",
"number": "1215904289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3245 W MAIN ST",
"address_2": "SUITE 235-182",
"city": "FRISCO",
"state": "TX",
"postal_code": "750344411",
"telephone_number": "214-733-2789",
"fax_number": "215-436-5495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3245 W MAIN ST",
"address_2": "SUITE 235-182",
"city": "FRISCO",
"state": "TX",
"postal_code": "750344411",
"telephone_number": "214-733-2789",
"fax_number": "215-436-5495"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERKINS",
"first_name": "MARK",
"middle_name": "ANTHONY",
"name_prefix": "Mr.",
"credential": "LSA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-08",
"last_updated": "2010-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "TX",
"license": "SA00349",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Frisco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.