Adam Perkins

Key facts

NPI

1629245147

Entity type

Individual (NPI type 1)

Primary specialty

Case Manager/Care Coordinator 171M00000X

Practice address

30 Ryan Rd
Cotter, AR 72626-9175

Phone

(870) 435-5511

Fax

(870) 435-5513

NPI assigned

May 14, 2008

Sex

Male

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 13, 2009.

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231804800000",
    "number": "1629245147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 HOSPITAL DR",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726532955",
            "telephone_number": "870-435-5511",
            "fax_number": "870-435-5513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 RYAN RD",
            "city": "COTTER",
            "state": "AR",
            "postal_code": "726269175",
            "telephone_number": "870-435-5511",
            "fax_number": "870-435-5513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERKINS",
        "first_name": "ADAM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-14",
        "last_updated": "2009-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cotter, AR

• Cotter Integrative Health and Wellness Studio, PLLC
• George Alexander,DDS,PA
• Kerri Gross, PT
• Lori A Hershberger, PTA
• Dennis Aaron Hughes, R.T.(R)(MR)
• Henry Poland, COTA
• Vance Vision Clinic PA
• Amanda Shawn Whitaker, FNP-C
• Cebrina Zirbel

All providers in Cotter, AR · Case Manager/Care Coordinator in Arkansas