Individual provider Active NPI

Douglas Wilford Perkins, D.O.

  • Family Medicine Physician
  • Price, UT
National Provider Identifier
1497734057
Registry record updated Oct 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
354727-1204 Issued in UT
Practice address
300 N Hospital Dr
Price, UT 84501-4218
Phone
(435) 637-4800
Fax
(435) 636-4896
NPI assigned
Jan 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 354727-1204 UT Primary

Addresses

Primary practice location

300 N Hospital Dr
Price, UT 84501-4218

Mailing address

PO Box 1276
Salem, UT 84653-1276
Phone (801) 423-3306

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040205000782 UT Practitioner - Family PracticePractitioner - Emergency Medicine 5294628939 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Carbon Medical Service Association Incorporated CurrentSince May 25, 2016 Accepting new patients
Carbon Medical Service Association, Incorporated CurrentSince May 25, 2016 Accepting new patients

Locations

125 S Main St
Helper, UT 84526
Phone (435) 472-7000

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381795200000",
    "number": "1497734057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1276",
            "city": "SALEM",
            "state": "UT",
            "postal_code": "846531276",
            "telephone_number": "801-423-3306",
            "fax_number": "801-423-3309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N HOSPITAL DR",
            "city": "PRICE",
            "state": "UT",
            "postal_code": "845014218",
            "telephone_number": "435-637-4800",
            "fax_number": "435-636-4896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERKINS",
        "first_name": "DOUGLAS",
        "middle_name": "WILFORD",
        "name_prefix": "Mr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-12",
        "last_updated": "2013-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "354727-1204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Price, UT

Sources for this page

Verify at the official NPI Registry.