NPIMap

Individual provider Active NPI

Vincent E Perkowski, D.O.

  • Family Medicine Physician
  • Massillon, OH
National Provider Identifier
1316940208
Registry record updated Nov 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34-006173 Issued in OH
Practice address
3300 Bailey St NW
Suite 102
Massillon, OH 44646-3613
Phone
(330) 834-9761
Fax
(330) 834-9765
NPI assigned
May 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34006173 OH
Family Medicine Physician 207Q00000X 34-006173 OH Primary

Addresses

Primary practice location

3300 Bailey St NW
Suite 102
Massillon, OH 44646-3613

Mailing address

7580 Northcliff Ave
Suite 500
Brooklyn, OH 44144-3272
Phone (216) 472-2741

Other identifiers 1

IdentifierTypeStateIssuer
0241625MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100503000553 OH Practitioner - Family Practice 4688666431 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Ohio University, College of Osteopathic Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orrville Hospital FoundationGroup PAC ID 7911890546, 78 clinicians

Practice addresses (Care Compare)

340 Oxford St
Suite 120
Dover, OH 44622-1969
Phone (330) 364-8889

Hospital & facility affiliations

  • Aultman Orrville Hospital Hospital, Orrville, OH, CCN 361323
  • Aultman Hospital Hospital, Canton, OH, CCN 360084
  • Union Hospital Hospital, Dover, OH, CCN 360010
  • Twin City Medical Center Hospital, Dennison, OH, CCN 361302

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
34-006173OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orrville Hospital Foundation CurrentSince Jan 31, 2023 Accepting new patients
Orrville Hospital Foundation CurrentSince Jan 31, 2023 Accepting new patients
Orrville Hospital Foundation Past Accepting new patients
Orrville Hospital Foundation Past Accepting new patients
Radiology Associates of Canton, Inc. Past Accepting new patients
Vincent E. Perkowski, D.O., LLC Family Medicine PastSince Nov 1, 2002 Accepting new patients
The Cleveland Clinic Foundation Past Accepting new patients

Locations

603 Monroe St
Dover, OH 44622
Phone (330) 364-8889

340 Oxford St
Ste 120
Dover, OH 44622
Phone (234) 801-2727

832 S Main St
Orrville, OH 44667
Phone (330) 456-2695

Interoperability endpoints

  • Direct secure messaging: vincent.perowski@direct.aultman.org

Organizations & group practices 7

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320105600000",
    "number": "1316940208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7580 NORTHCLIFF AVE",
            "address_2": "SUITE 500",
            "city": "BROOKLYN",
            "state": "OH",
            "postal_code": "441443272",
            "telephone_number": "216-472-2741",
            "fax_number": "216-472-2739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 BAILEY ST NW",
            "address_2": "SUITE 102",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446463613",
            "telephone_number": "330-834-9761",
            "fax_number": "330-834-9765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERKOWSKI",
        "first_name": "VINCENT",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2011-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34006173",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34-006173",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0241625",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Massillon, OH

Sources for this page

Verify at the official NPI Registry.