Organization Active NPI

Vincent E. Perkowski, D.O., LLC

  • Family Medicine Physician
  • Massillon, OH
National Provider Identifier
1528247657
Registry record updated Oct 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34-00-6173 Issued in OH
Legal business name
VINCENT E. PERKOWSKI, D.O., LLC
Practice address
3300 Bailey St NW
Suite 102
Massillon, OH 44646-3613
Phone
(330) 834-9761
Fax
(330) 834-9765
NPI assigned
Oct 25, 2007
Last updated
Oct 25, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2007

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

Authorized official

Name
Dr. Vincent E. Perkowski, D.O.NPI 1316940208
Title
Member
Phone
(330) 834-9761

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 34-00-6173 OH Primary

Addresses

Primary practice location

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

Mailing address

3300 Bailey St NW
Suite 102
Massillon, OH 44646-3613
Phone (330) 834-9761

Other identifiers 1

IdentifierTypeStateIssuer
2484422MedicaidOH

National Provider Directory

National Provider Directory

Locations

3300 Bailey St NW
Massillon, OH 44646
Phone (330) 834-9761

Practitioners & affiliated clinicians

Practitioners 3

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": "1193270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193270400000",
    "number": "1528247657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "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": {
        "organization_name": "VINCENT E. PERKOWSKI, D.O., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-25",
        "last_updated": "2007-10-25",
        "status": "A",
        "authorized_official_last_name": "PERKOWSKI",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "330-834-9761",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34-00-6173",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2484422",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Massillon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2007; 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.