Active NPI
Perkis Family Medicine, LLC
- Family Medicine Physician
- Elkton, MD
National Provider Identifier
1457306755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- PERKIS FAMILY MEDICINE, LLC
- Practice address
- 349 E Pulaski Hwy Ste C
Elkton, MD 21921-6747 - Phone
- (410) 398-4510
- Fax
- (410) 398-5160
- NPI assigned
- May 24, 2006
- Last updated
- Dec 12, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Renee Perkis, MD
- Title
- Owner
- Phone
- (410) 398-4510
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
349 E Pulaski Hwy Ste C
Elkton, MD 21921-6747
Mailing address
349 E Pulaski Hwy Ste C
Elkton, MD 21921-6747
Phone (410) 398-4510
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DE6737 | Other | MD | MEDICARE RR |
National Provider Directory
National Provider DirectoryLocations
349 E Pulaski Hwy
Ste C
Elkton, MD 21921
Phone (410) 398-4510
Interoperability endpoints
- https://api.platform.athenahealth.com/20122/brand/1/csg/1/fhir/r4
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": "1148428800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1670803200000",
"number": "1457306755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "349 E PULASKI HWY STE C",
"city": "ELKTON",
"state": "MD",
"postal_code": "219216747",
"telephone_number": "410-398-4510",
"fax_number": "410-398-5160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "349 E PULASKI HWY STE C",
"city": "ELKTON",
"state": "MD",
"postal_code": "219216747",
"telephone_number": "410-398-4510",
"fax_number": "410-398-5160"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PERKIS FAMILY MEDICINE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-24",
"last_updated": "2022-12-12",
"certification_date": "2022-12-12",
"status": "A",
"authorized_official_last_name": "PERKIS",
"authorized_official_first_name": "RENEE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "410-398-4510",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR",
"identifier": "DE6737",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elkton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.