Organization Active NPI

Perkis Family Medicine, LLC

  • Family Medicine Physician
  • Elkton, MD
National Provider Identifier
1457306755
Registry record updated Dec 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2022

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
DE6737OtherMDMEDICARE RR

National Provider Directory

National Provider Directory

Locations

349 E Pulaski Hwy
Ste C
Elkton, MD 21921
Phone (410) 398-4510

Interoperability endpoints

  • FHIR API: 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.

Verify at the official NPI Registry.